Individual
DR. STEPHANIE MARIE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
243 MAIN ST, NEW PALTZ, NY 12561-1325
(845) 255-4696
(845) 255-1201
Mailing address
952 TROY SCHENECTADY RD, LATHAM, NY 12110-1608
(518) 785-1199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007564
NY
Other
Enumeration date
07/01/2010
Last updated
07/10/2014
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