PAULO PACHECO, MD PC
Osteopathic Medicine at 57 St, New York, NY

License number
New York 197946
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: MARIE FARRELL RN CCSP
Title: DIRECTOR CODING
Phone: (845) 634-6500
Address
Address 2
38 E 57Th St, New York, NY 10022
17 Squadron Blvd, New City, NY 10956
National Provider ID: 1114051711
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAULO PACHECO, M.D., PC

38 E 57 St 7, New York, NY 10022

Registration:
Apr 15, 2003
State ID:
2895030
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Paulo Pacheco Md, 38 E 57 St 7, New York, NY 10022 (Physical)
Agent:
Paulo Pacheco, M.d,252 7 Ave APT 14N, New York, NY 10001 (Physical)

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