Individual
REGINA KOSTYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
399 FARMINGTON AVE, SUITE 300, FARMINGTON, CT 06032
(860) 284-0220
Mailing address
399 FARMINGTON AVE, SUITE 300, FARMINGTON, CT 06032
(860) 284-0220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
559
CT
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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