Jablonski, Regina L

Jablonski, Regina L is an individual health care provider with primary practice located at 49 Nesconset Hwy , Port Jefferson Station NY 11776-2628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Jablonski, Regina L can be contacted via phone (631) 751-0000.

Contact Information

Primary practice address
49 Nesconset Hwy Port Jefferson Station NY 11776-2628
Fax: (631) 509-6559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 203335 New York

Profile Details

NPI number 1760486443
LBN Legal business name Jablonski, Regina L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760486443 NPPES
New York MEDICAID 01683696

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