Provider Demographics
NPI:1083855902
Name:SECARA, REGINA CAELI LUCIA (RN)
Entity Type:Individual
Prefix:MISS
First Name:REGINA CAELI
Middle Name:LUCIA
Last Name:SECARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 CANFIELD AVE
Mailing Address - Street 2:APARTMENT 430
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-2046
Mailing Address - Country:US
Mailing Address - Phone:570-604-3252
Mailing Address - Fax:
Practice Address - Street 1:95 BRADHURST AVE
Practice Address - Street 2:GREEN UNIT
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1637
Practice Address - Country:US
Practice Address - Phone:914-592-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY604557-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse