Provider Demographics
NPI:1720483498
Name:VOLCY, PAULITA
Entity Type:Individual
Prefix:
First Name:PAULITA
Middle Name:
Last Name:VOLCY
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 1:625 BEACH 56 STREET
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4005
Mailing Address - Country:US
Mailing Address - Phone:347-403-9231
Mailing Address - Fax:
Practice Address - Street 1:626 BEACH 56 STREET
Practice Address - Street 2:
Practice Address - City:FAR ROCK AWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4005
Practice Address - Country:US
Practice Address - Phone:347-394-9784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY678205163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse