Individual
MRS. REGINA MARIE HEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1200 E MAIN ST, ENDICOTT, NY 13760-5220
(607) 757-2188
Mailing address
1100 E MAIN ST, ENDICOTT, NY 13760-5254
(607) 757-2188
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
3357251
NY
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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