Individual
RONNY PAULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
361 DEAUVILLE BLVD, COPIAGUE, NY 11726-3015
(631) 897-4402
Mailing address
361 DEAUVILLE BLVD, COPIAGUE, NY 11726-3015
(631) 897-4402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013248
NY
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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