Provider Demographics
NPI:1891067757
Name:PAGUIO, ROSEMARIE JACINTO
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:JACINTO
Last Name:PAGUIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 EAST 57TH STREET
Mailing Address - Street 2:14A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:646-861-3206
Mailing Address - Fax:
Practice Address - Street 1:153 E 57TH ST
Practice Address - Street 2:14A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2119
Practice Address - Country:US
Practice Address - Phone:646-861-3206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist