Individual
SALLYANN NMN PALADINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
(631) 761-3500
Mailing address
23 SURREY RD., MASSAPEQUA, NY 11758
(631) 761-3500
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
453771
NY
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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