Individual
LISA MARIE PALADINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RNC, CNM
Contact information
Practice address
2285 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 226-3204
Mailing address
4945 AMBOY RD, STATEN ISLAND, NY 10312-4842
(718) 966-0035
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241105
—
NY
Enumeration date
03/05/2010
Last updated
11/10/2011
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