Individual
JESUS PAULINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3175 E TREMONT AVE, BRONX, NY 10461-5700
(914) 902-8976
Mailing address
3175 E TREMONT AVE, BRONX, NY 10461-5700
(914) 902-8976
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/03/2019
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