Healthcare Provider Details

I. General information

NPI: 1851501191
Provider Name (Legal Business Name): REGINE L MARTON MS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28-11 QUEENS PLAZZA NORTH, 5TH FLOOR
LONG ISLAND CITY NY
11101
US

IV. Provider business mailing address

69 GOETHE ST UPPR
BUFFALO NY
14206-1417
US

V. Phone/Fax

Practice location:
  • Phone: 718-391-8300
  • Fax:
Mailing address:
  • Phone: 716-495-5832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number516955-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: