Individual
ETIENNE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8330 98TH ST APT 5M, WOODHAVEN, NY 11421-1656
(917) 655-0371
Mailing address
8330 98TH ST APT 5M, WOODHAVEN, NY 11421-1656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1672039
NY
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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