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Individual

GUILLERMO PAULINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
39 BRENTWOOD RD STE 102, BAY SHORE, NY 11706-8031
(631) 666-5864
Mailing address
39 BRENTWOOD RD STE 102, BAY SHORE, NY 11706-8031

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
789476
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
356970
NY

Other

Enumeration date
04/24/2024
Last updated
02/17/2026
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