MEDICARE: DR. MARIE GUERLINE PAUL NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	309288	NY

General Provider Information

NPI Number	:	1356516447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE GUERLINE PAUL NP

Provider Business Mailing Address
First Line	:	1817 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4854
Country	:	US
Telephone Number	:	347-636-4005
Fax Number	:	516-268-9904

Provider Business Practice Location Address
First Line	:	1817 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4854
Country	:	US
Telephone Number	:	347-636-4005
Fax Number	:	718-942-5153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	10/23/2025

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