Individual
PRINCY PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 DEBORA CT, BAY SHORE, NY 11706-4056
(631) 612-4525
Mailing address
26 DEBORA CT, BAY SHORE, NY 11706-4056
(631) 612-4525
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306565-1
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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