Individual
KATUSHIA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
774 MANOR RD, SUITE 204, STATEN ISLAND, NY 10314-7038
(718) 496-2542
Mailing address
774 MANOR RD, SUITE 204, STATEN ISLAND, NY 10314-7038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308119
NY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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