Rousseau, Reginald

Rousseau, Reginald is an individual health care provider with primary practice located at 340 Howells Rd , Bay Shore NY 11706-5322. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Rousseau, Reginald can be contacted via phone (833) 547-7463.

Contact Information

Primary practice address
340 Howells Rd Bay Shore NY 11706-5322
Phone: (833) 547-7463
Fax: (631) 248-5583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 228851 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 228851 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 228851 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 228851 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 228851 New York

Profile Details

NPI number 1306822523
LBN Legal business name Rousseau, Reginald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Apr 29th, 2024 - about last year

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 1306822523 NPPES
New York MEDICAID 02717366

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