Individual
DR. REGINA R DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2550 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(718) 983-0923
(718) 982-6309
Mailing address
670 AVENUE E, BAYONNE, NJ 07002
(201) 437-1362
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
140323-1
NY
Other
Enumeration date
09/25/2006
Last updated
12/02/2018
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