Individual
DR. ELLIOT REGENBOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 FORT WASHINGTON AVE., HARKNESS PAVILION 7TH FLOOR, NEW YORK, NY 10032-1003
(212) 305-8555
Mailing address
109 WILSON DR, PORT JEFFERSON, NY 11777-2044
(914) 643-8276
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
171320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01887952
—
NY
Enumeration date
08/15/2005
Last updated
10/31/2018
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