Individual
CORINNE REGINA REGINA VENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 ISLIP AVE, ISLIP, NY 11751-3015
(631) 581-6800
(631) 581-6814
Mailing address
310 WADING RIVER RD, MANORVILLE, NY 11949-3437
(631) 745-2233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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