Provider Demographics
NPI:1649401126
Name:BISCOGLIO, REGINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:
Last Name:BISCOGLIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MACY AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-3541
Mailing Address - Country:US
Mailing Address - Phone:914-325-4047
Mailing Address - Fax:914-793-3609
Practice Address - Street 1:220 WEST 71ST STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3720
Practice Address - Country:US
Practice Address - Phone:914-325-4047
Practice Address - Fax:212-859-7369
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-02
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical