Doctor Name: | MS. REGINA COELI HUDSON |
NPI Number: | 1487932166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 434754 |
Business Practice Address: | 949 Sierra Vista Ln Valley Cottage, NY - 109892724 |
Business Phone Number: | 8453589281 |
Business Fax Number: | |
Mailing Address: | 949 Sierra Vista Ln, VALLEY COTTAGE |
State: | NY |
Postal Code: | 109892724 |
Phone Number: | 8453589281 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2011 |
NPI Last Update Date: | 07/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 434754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |