Provider Demographics
NPI:1881253607
Name:PAOLI, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:PAOLI
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 1:420 E 111TH ST APT 2102
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3025
Mailing Address - Country:US
Mailing Address - Phone:201-249-2695
Mailing Address - Fax:
Practice Address - Street 1:199 WATER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3526
Practice Address - Country:US
Practice Address - Phone:201-249-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies