Individual
LEAH ERIN REGENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-6301
(954) 985-1434
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
309306
NY
208000000X
Pediatrics Physician
Primary
ME154772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114480500
—
FL
Enumeration date
04/02/2018
Last updated
07/07/2022
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