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Individual
IRENE PAULUS
Active
Individual
IRENE PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026128701
UNIVERA #
NY
01
—
000527164002
HEALTH NOW BCBS #
NY
01
—
0125189
GHI #
NY
01
—
040426002902
FIDELIS #
NY
01
—
0492653
IHA #
NY
01
—
159880BJ
PREFERRED CARE #
NY
01
—
225987-7W
WORKERS COMP #
NY
01
—
P00216003
MEDICARE RAILROAD #
NY
Enumeration date
04/26/2006
Last updated
11/30/2009
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