Individual
MRS. EILEEN M REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
89 E MADISON ST, EAST ISLIP, NY 11730-1600
(631) 581-6773
Mailing address
89 E MADISON ST, EAST ISLIP, NY 11730-1600
(631) 581-6773
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
352460
NY
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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