REGINA SEYUN SONG (NPI# 1184961476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184961476 |
| Entity Type | Individual |
| Full Name | REGINA SEYUN SONG |
| Other Name | SEYUN SONG |
| Credential | NP |
| Practice Address |
500 Commack Road, Suite 204 Stony Brook Wtc Wellness Program Commack NY 11725 |
| Mailing Address |
500 Commack Rd Suite 204 Commack NY 11725 |
| Practice Telephone | 6318551200 |
| Mailing Telephone | 6318551200 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 621379 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306161 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 COMMACK ROAD, SUITE 204 STONY BROOK WTC WELLNESS PROGRAM |
| City | COMMACK |
| State | NY |
| Zip Code | 11725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262887 | Arielle Ashley Schwimmer | Nurse Practitioner | 47 Wesleyan Rd, Commack, NY 11725-2531 | 2020-07-21 |
| 1659852374 | Irene Raphael | Nurse Practitioner | 66 Commack Rd Ste 20018, Commack, NY 11725-3405 | 2018-08-22 |
| 1942755830 | Maryam Abubakar | Nurse Practitioner | 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 | 2016-08-20 |
| 1710328760 | Bethany H Kennedy | Nurse Practitioner | 2171 Jericho Tpke Ste 135, Commack, NY 11725-2947 | 2013-07-07 |
| 1033462312 | Sandra M Roth | Nurse Practitioner | 52 Radburn Dr, Commack, NY 11725-1129 | 2012-10-23 |
| 1669768255 | Tanima Yaibuathes | Nurse Practitioner | 149 Commack Rd Ste A, Commack, NY 11725-3459 | 2011-06-22 |
| 1285756957 | Denyse Marie Hilsby | Nurse Practitioner | 81 Mall Dr, Commack, NY 11725-5703 | 2007-04-04 |
| 1902431422 | Laura Anne Fox | Nurse Practitioner | 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 | 2020-03-04 |
| 1053887562 | Ann Marie Perrino | Nurse Practitioner | 68 Hauppauge Rd, Commack, NY 11725-4431 | 2018-10-23 |
| 1255819249 | Nicholas Paul Lattanzio | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2018-08-01 |
| Find all providers in COMMACK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.