Individual
MS. PEGGY REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
476 COURT ST, BROOKLYN, NY 11231-4032
(718) 254-4075
(718) 254-7004
Mailing address
476 COURT ST, BROOKLYN, NY 11231-4032
(718) 254-4075
(718) 254-7004
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002331-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2829878
OXFORD PROVIDER ID
NY
Enumeration date
12/08/2006
Last updated
07/08/2007
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