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NPI Code Detail

MEDICARE: MR. PHILIP SALVATORE PATERNO P.A.-C.

MEDICARE:  MR. PHILIP SALVATORE PATERNO  P.A.-C.
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
1363AS0400XSurgical Physician Assistant10036NY

General Provider Information

NPI Number : 1558334128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PHILIP SALVATORE PATERNO P.A.-C.
Provider Business Mailing Address
First Line : 4143 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3308
Country : US
Telephone Number : 718-233-1300
Fax Number : 718-980-9728
Provider Business Practice Location Address
First Line : 4143 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3308
Country : US
Telephone Number : 718-233-1300
Fax Number : 718-980-9728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/21/2013

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Directions to “ MR. PHILIP SALVATORE PATERNO P.A.-C.” Practice Location

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