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NPI Code Detail

MEDICARE: MR. PAULINO S LLIDO RN

MEDICARE: MR. PAULINO S LLIDO RN
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
1163WE0003XEmergency Registered Nurse917893NY

General Provider Information

NPI Number : 1316886914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAULINO S LLIDO RN
Provider Business Mailing Address
First Line : 1536 E 96TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5304
Country : US
Telephone Number : 347-998-4675
Fax Number :
Provider Business Practice Location Address
First Line : 451 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2054
Country : US
Telephone Number : 844-692-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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