Individual
PAUL NO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
300 COMMUNITY DRIVE, MANHASSET, NY 11030
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
309495
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
10/16/2024
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