Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 204271 | NY |
NPI | 1023115607 |
---|---|
Provider Name | Regina S Druz |
First Address | Roslyn Heights, NY 11577-2809 |
Second Address | Mineola, NY 11501-1821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 10/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02210084 | (05) | NY |
H49891 | (02) |