Doctor Name: | MR. LUIS RAFAEL PAULINO |
NPI Number: | 1821004219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW,CASAC |
License Number: | 8072 |
Business Practice Address: | Va Hudson Valley Health System Route 9d Castle Point, NY - 12538 |
Business Phone Number: | 8458312000 |
Business Fax Number: | 8458385236 |
Mailing Address: | 24 South Drive, HYDE PARK |
State: | NY |
Postal Code: | 12538 |
Phone Number: | 9144037160 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 8072 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |