Provider Demographics
NPI:1154952752
Name:REGUEIRO, DARLENE (RD)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:REGUEIRO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HANOVER SQ APT 4B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3531
Mailing Address - Country:US
Mailing Address - Phone:786-252-9335
Mailing Address - Fax:
Practice Address - Street 1:10 HANOVER SQ
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-3510
Practice Address - Country:US
Practice Address - Phone:786-252-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered