Provider Demographics
NPI:1326560509
Name:FINTA, REGINA MARIE (AUD)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:MARIE
Last Name:FINTA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:MARIE
Other - Last Name:LIANTONIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:75 CONKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4107
Mailing Address - Country:US
Mailing Address - Phone:631-965-3120
Mailing Address - Fax:
Practice Address - Street 1:366 N BROADWAY STE 403
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2000
Practice Address - Country:US
Practice Address - Phone:516-605-0360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002724-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist