Individual
MISS LAUREN PAOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 HYLAN BLVD, STATEN ISLAND, NY 10306-3608
(718) 448-3210
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014994-1
NY
363AS0400X
Surgical Physician Assistant
25MP00268200
NJ
Other
Enumeration date
09/28/2011
Last updated
02/06/2019
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