Individual
BERENICE PAULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 CYPRESS AVE, BOGOTA, NJ 07603-1801
(646) 744-9986
Mailing address
45 CYPRESS AVE, BOGOTA, NJ 07603-1801
(646) 744-9986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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