Individual
CODY PAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
85 3RD ST, WATERFORD, NY 12188-2430
(151) 846-6368
Mailing address
85 3RD ST, WATERFORD, NY 12188-2430
(151) 846-6368
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
406274
NY
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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