Organization
PASCHOS CAROLINA BRILATA RN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA B PASCHOS RN (PRESIDENT)
(718) 956-4740
Entity
Organization
Contact information
Practice address
2314 BROADWAY, 2F, ASTORIA, NY 11106-4153
(718) 956-4740
Mailing address
2314 BROADWAY, 2F, ASTORIA, NY 11106-4153
(718) 956-4740
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
489789-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01812220
—
NY
Enumeration date
08/05/2007
Last updated
08/05/2007
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