Provider Demographics
NPI:1073323416
Name:SELINO, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:SELINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 KINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2826
Mailing Address - Country:US
Mailing Address - Phone:914-490-3798
Mailing Address - Fax:
Practice Address - Street 1:66 KINGSTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2826
Practice Address - Country:US
Practice Address - Phone:914-490-3798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor