1114968872 NPI number — MS. REGINA GRACE POWERS P.T.,M.S.

Table of content: MS. REGINA GRACE POWERS P.T.,M.S. (NPI 1114968872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114968872 NPI number — MS. REGINA GRACE POWERS P.T.,M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POWERS
Provider First Name:
REGINA
Provider Middle Name:
GRACE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.,M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114968872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
123 HICKORY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT JEFFERSON STATION
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11776-2117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-444-5603
Provider Business Mailing Address Fax Number:
631-444-5604

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 OLD TOWN RD
Provider Second Line Business Practice Location Address:
LOWER LEVEL @ SETAUKET OFFICE PARK
Provider Business Practice Location Address City Name:
EAST SETAUKET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11733-2064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-5603
Provider Business Practice Location Address Fax Number:
631-444-5604
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  008596-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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