Healthcare Provider Details

I. General information

NPI: 1932357951
Provider Name (Legal Business Name): REGINA LINDSAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 STOWE RD SUITE 9
PEEKSKILL NY
10566-2570
US

IV. Provider business mailing address

2 STOWE RD SUITE 9
PEEKSKILL NY
10566-2570
US

V. Phone/Fax

Practice location:
  • Phone: 914-736-7708
  • Fax:
Mailing address:
  • Phone: 914-736-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335619
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: