Individual provider · Type 1 NPI

Princy Mary Paulose, PA-C

Medical Physician Assistant · Staten Island, NY

NPI number 1609267707 Active

Practice location

1050 Clove Rd
Staten Island, NY 10301-3627

Call (718) 816-6440 Map

Fax (718) 420-2718

Mailing address

55 Water St Fl 12
New York, NY 10041-0004

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X018390-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1609267707

Princy Mary Paulose, PA-C's National Provider Identifier is 1609267707, issued on Feb 10, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Nov 10, 2017.