Individual
CAROL EUGENIA PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23 S HOWELL AVE STE G, CENTEREACH, NY 11720
(631) 638-1672
(631) 638-1692
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-9120
(631) 638-1692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014789-1
NY
Other
Enumeration date
07/11/2011
Last updated
11/04/2019
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