# PAUL ADULT HEALTH NURSE PRACTITIONER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467216150
- **Authorized official:** ROSHINI MYLAKKATTU PAUL (OWNER)
- **Authorized official phone:** (631) 459-9500

## Contact information

- **Practice address:** 7 WEAVER LN, DIX HILLS, NY 11746-5018
- **Practice address phone:** (631) 459-9500
- **Mailing address:** 7 WEAVER LN, DIX HILLS, NY 11746-5018
- **Mailing address phone:** (631) 459-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2024
- **Last updated:** 02/12/2024