Individual provider · Type 1 NPI

Ethan Thomas Paulin, MD

Student in an Organized Health Care Education/Training Program · Valhalla, NY

NPI number 1194172106 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

101 Legend Dr Apt 3315
Sleepy Hollow, NY 10591-3495

Other practice locations

  • 96 Terryville Rd, Port Jefferson Station, NY 11776-1388 · (631) 815-2366

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X322840 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194172106

Ethan Thomas Paulin, MD's National Provider Identifier is 1194172106, issued on May 19, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Jun 10, 2026.