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Individual

NICOLE DANIELLE REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
101 MINEOLA BLVD, 2ND FLOOR WINTHROP PEDIATRIC ENDOCRINOLOGY, MINEOLA, NY 11501-4007
(516) 663-3511
(516) 663-3070
Mailing address
101 MINEOLA BLVD, 2ND FLOOR WINTHROP PEDIATRIC ENDOCRINOLOGY, MINEOLA, NY 11501
(516) 663-3511
(516) 663-3070

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
008843
NY
133NN1002X
Nutrition Education Nutritionist
008843
NY
133V00000X
Registered Dietitian
Primary
008843
NY

Other

Enumeration date
09/29/2016
Last updated
05/12/2023
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