Provider Demographics
NPI:1336456631
Name:REGNER, BABIE MAR TELERON (BSN-RN)
Entity Type:Individual
Prefix:
First Name:BABIE MAR
Middle Name:TELERON
Last Name:REGNER
Suffix:
Gender:F
Credentials:BSN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 TIEMANN PLACE
Mailing Address - Street 2:APT. 22
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:917-378-5983
Mailing Address - Fax:
Practice Address - Street 1:519 W 114TH ST
Practice Address - Street 2:3RD FLOOR JOHN JAY BLDG.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7036
Practice Address - Country:US
Practice Address - Phone:212-854-9842
Practice Address - Fax:212-854-9851
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY532474163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse