Provider Demographics
NPI:1538439583
Name:ROSENFELD, REGINA (RN)
Entity type:Individual
Prefix:MS
First Name:REGINA
Middle Name:
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:SCHWITZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:137 LEAHY ST
Mailing Address - Street 2:SEAMAN ELEMENTARY SCHOOL
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753
Mailing Address - Country:US
Mailing Address - Phone:516-203-3600
Mailing Address - Fax:516-681-9493
Practice Address - Street 1:137 LEAHY ST
Practice Address - Street 2:SEAMAN ELEMENTARY SCHOOL
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753
Practice Address - Country:US
Practice Address - Phone:516-203-3600
Practice Address - Fax:516-681-9493
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326013-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse