MEDICARE: MR. PAOLO FIRENZE M.S.ED.

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	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1912294018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAOLO FIRENZE M.S.ED.

Provider Business Mailing Address
First Line	:	1748 W 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-1021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 E 14TH ST STE 200
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3973
Country	:	US
Telephone Number	:	718-769-2698
Fax Number	:

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

Provider Enumeration Date	:	07/09/2011
Last Update Date	:	07/09/2011

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