Provider Demographics
NPI:1588077853
Name:CONTURSI, REGINA
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:CONTURSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W 26TH ST APT 901
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6743
Mailing Address - Country:US
Mailing Address - Phone:646-584-2025
Mailing Address - Fax:
Practice Address - Street 1:220 W 26TH ST APT 901
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6743
Practice Address - Country:US
Practice Address - Phone:646-584-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist