Individual
ASHLEY REGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 CORBIN AVE, EAST PATCHOGUE, NY 11772-4583
(631) 559-6917
Mailing address
46 CORBIN AVE, EAST PATCHOGUE, NY 11772-4583
(631) 559-6917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321211-1
NY
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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