Regensburg, Edward A

Regensburg, Edward A is an sole proprietor health care provider with primary practice located at 37 Willoughby Path , East Northport NY 11731-6329. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Regensburg, Edward A can be contacted via phone (631) 493-0933.

Contact Information

Primary practice address
37 Willoughby Path East Northport NY 11731-6329
Phone: (631) 493-0933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000152 New York

Profile Details

NPI number 1255450300
LBN Legal business name Regensburg, Edward A
Credentials LCAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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