Doctor Name: | PAULA MARIE GRIMALDI |
NPI Number: | 1205876281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 220708 |
Business Practice Address: | 811 N Broadway Suite 205 White Plains, NY - 106032403 |
Business Phone Number: | 9146866974 |
Business Fax Number: | 9142279633 |
Mailing Address: | 811 N Broadway, Suite 205 WHITE PLAINS |
State: | NY |
Postal Code: | 106032403 |
Phone Number: | 9146866974 |
Fax Number: | 9142279633 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 220708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |