Individual
ELLEN REGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 DELAWARE AVE STE 100, DELMAR, NY 12054-1402
(518) 459-8077
(518) 459-8070
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341894
NY
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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