Individual
PAUL RAHANIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
25 FRANKLIN RD, SOUND BEACH, NY 11789-2619
(631) 742-4555
Mailing address
25 FRANKLIN RD, SOUND BEACH, NY 11789-2619
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
517851
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408091
NY
Other
Enumeration date
11/15/2014
Last updated
02/12/2026
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