Provider Demographics
NPI:1790969194
Name:REGNIER, TAMMY ANN (NP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ANN
Last Name:REGNIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:ANN
Other - Last Name:MACCHIONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:1101 STEWART AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4808
Mailing Address - Country:US
Mailing Address - Phone:516-222-0893
Mailing Address - Fax:516-228-6560
Practice Address - Street 1:1101 STEWART AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4892
Practice Address - Country:US
Practice Address - Phone:516-746-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381237363LP0200X, 363L00000X
NY425536163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse