1649534298 NPI NUMBER - MISS MEYONIE PAULIN, RN

Summary

NPI Number 1649534298
Entity Type Code Individual
Provider Legal Name MISS MEYONIE PAULIN, RN
Provider Business Practice Location Address 621 RUTLAND RD
APT 2C
BROOKLYN, NY
ZIP 11203
Practice Location Phone Number (646) 247-6894
Provider Taxonomy Code 163W00000X - Registered Nurse
Specialization
Provider Enumeration Date 6/28/2012
Last Update Date 6/28/2012

Detailed Information

NPI Number 1649534298 is assigned to an individual registered under the provider name MISS MEYONIE PAULIN, RN .

The NPPES NPI record indicates the provider is a female.

The provider is physically located at:

621 RUTLAND RD
APT 2C
BROOKLYN, NY
ZIP 11203-747
Phone: (646) 247-6894

The enumeration date for this NPI number is 6/28/2012 and was last updated on 6/28/2012 .

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License Number State
1 163W00000X Registered Nurse 653004-1 NY View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 02386450 MEDICAID NY

NPI Record

No. Field Name Field Value
1 NPI 1649534298
2 Entity Type Code 1
3 Provider Last Name Legal Name PAULIN
4 Provider First Name MEYONIE
5 Provider Name Prefix Text MISS
6 Provider Credential Text RN
7 Provider First Line Business Practice Location Address 621 RUTLAND RD
8 Provider Second Line Business Practice Location Address APT 2C
9 Provider Business Practice Location Address City Name BROOKLYN
10 Provider Business Practice Location Address State Name NY
11 Provider Business Practice Location Address Postal Code 112031747
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 6462476894
14 Provider Enumeration Date 6/28/2012
15 Last Update Date 6/28/2012
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 163W00000X
18 Provider License Number 1 653004-1
19 Provider License Number State Code 1 NY
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 02386450
22 Other Provider Identifier Type Code 1 05
23 Other Provider Identifier State 1 NY
24 Is Sole Proprietor Y

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This page was last updated on: 5/14/2013
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