Individual
DR. AVNER REGGEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 N. CETRAL AVE, #310A, HARTSDALE, NY 10530
(914) 285-1721
(914) 285-1722
Mailing address
25 WODDLAND PLACE, SCARSDALE, NY 10583
(914) 472-6365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
131178
NY
207R00000X
Internal Medicine Physician
MD27723
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00248513
—
NY
01
—
0060721
GHI MEDICAL INS
NY
01
—
0C411P
HIP MED INS
—
01
—
131178
STATE MEDICAL LICENSE
NY
01
—
343171
EMPIRE BLUE CROSS AND BLU
NY
01
—
343172
EMPIRE BLUE CROSS AND BLU
NY
01
—
343173
EMPIRE BLUE CROSS AND BLU
NY
01
—
NP363
OXFORD HEALTH PLANS
—
Enumeration date
08/25/2006
Last updated
01/30/2024
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