Individual
CHIVONE S PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8802 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1609
(718) 696-9489
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402676
NY
Other
Enumeration date
07/26/2015
Last updated
08/23/2019
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