Individual
MR. AL. PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
130-20 89TH RD, RICHMOND HILLS, NY 11418
(718) 441-8913
(718) 846-9064
Mailing address
447 CLARENDON RD, UNIONDALE, NY 11553-2105
(516) 860-7901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
233033
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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