Individual
KATE REGAN AZAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501A W MONTAUK HWY, WEST BABYLON, NY 11704-8308
(401) 207-7394
Mailing address
56 WOODROW PKWY, WEST BABYLON, NY 11704-7315
(401) 207-7394
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311897
NY
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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