Individual
CARRIE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 ROUTE 32, CENTRAL VALLEY, NY 10917-3613
(845) 827-6227
Mailing address
744 WALLKILL AVE, WALLKILL, NY 12589-3106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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