Individual
MRS. EILEEN ANNE PAGANO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3530
(718) 831-0182
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3530
(718) 831-0182
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
301817-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382230-1
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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