Provider Demographics
NPI:1831553726
Name:PAUL FURINO APRN LLC
Entity type:Organization
Organization Name:PAUL FURINO APRN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:FURINO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:2003-494-6008
Mailing Address - Street 1:3017 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4977
Mailing Address - Country:US
Mailing Address - Phone:203-494-6008
Mailing Address - Fax:203-439-2087
Practice Address - Street 1:3017 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4977
Practice Address - Country:US
Practice Address - Phone:203-494-6008
Practice Address - Fax:203-439-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003755163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Single Specialty