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Mrs. Melba Paulose, NP
Gerontology Nurse Practitioner in Hollis, Queens, New York
NPI 1578222972

Melba Paulose is a Gerontology Nurse Practitioner based in Syosset, NY and is specialized in Gerontology. Melba Paulose practices in Hollis, Queens, NY and has the professional credentials of NP. The NPI Number for Melba Paulose is 1578222972 and holds a License No. F310011-01 (New York).

The current practice location address for Melba Paulose is 194-44 Woodhull Ave, Hollis, Queens, NY and can be reached out via phone at 516-967-3681.

Location: 194-44 Woodhull Ave, Hollis, Queens, NY, 11791-3605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578222972
Provider Name
Melba Paulose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
194-44 Woodhull Ave, Hollis, Queens, NY, 11791-3605
Phone Number
516-967-3681
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F310011-01 05 NY
institution
Provider Business Practice Location Address Details
Address
194-44 Woodhull Ave
City
Hollis, Queens
State
New York
Zip
11423
Phone Number
516-967-3681
Fax Number
person
Provider Business Mailing Address Details
Address
194-44 Woodhull Ave
City
Hollis, Queens
State
New York
Zip
11423
Phone Number
516-967-3681
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
F310011-01 (New York)
Definition
Definition to come...
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