Search › New York › 1041C0700X
Regina Ely, LCSW
NPI 1902366198 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2799 Medford Ave Ste 11
Medford, NY 11763 - Phone
- (631) 732-5222
- Fax
- (631) 732-6222
Additional practice sites
- 1413 Stony Brook Rd, Stony Brook, NY
- 29 Lacebark Ln, Medford, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York