Individual
MS. REGINA DAZZO FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6581 HYLAN BLVD, STATEN ISLAND, NY 10309-3830
(718) 984-1526
(718) 356-8905
Mailing address
6581 HYLAN BLVD, STATEN ISLAND, NY 10309-3830
(718) 984-1526
(718) 356-8905
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
230967-1
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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