Provider Demographics
NPI:1205186871
Name:PAUL, DULCINE G JR (LPN)
Entity Type:Individual
Prefix:MR
First Name:DULCINE
Middle Name:G
Last Name:PAUL
Suffix:JR
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 8TH ST
Mailing Address - Street 2:APT 1L
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4151
Mailing Address - Country:US
Mailing Address - Phone:516-860-5441
Mailing Address - Fax:
Practice Address - Street 1:317 8TH ST
Practice Address - Street 2:APT 1L
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4151
Practice Address - Country:US
Practice Address - Phone:516-860-5441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267401164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse