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NPI Code Detail

MEDICARE: DR. GLORIA PAOLI

MEDICARE:  DR. GLORIA  PAOLI
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
1207W00000XOphthalmology Physician148384NY

General Provider Information

NPI Number : 1104008325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLORIA PAOLI
Provider Business Mailing Address
First Line : 300 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-1323
Country : US
Telephone Number : 212-928-1498
Fax Number : 212-928-1670
Provider Business Practice Location Address
First Line : 300 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-1323
Country : US
Telephone Number : 212-928-1498
Fax Number : 212-928-1670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2007
Last Update Date : 11/29/2007

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Directions to “ DR. GLORIA PAOLI ” Practice Location

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