Individual
BICHARA PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2116 VAILS GATE HEIGHTS DR, NEW WINDSOR, NY 12553-3503
(845) 541-1919
Mailing address
2116 VAILS GATE HEIGHTS DR, NEW WINDSOR, NY 12553-3503
(845) 541-1919
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3028531
NY
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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