Provider Demographics
NPI:1154041739
Name:JAMES, PAULINE ROHILDA (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:ROHILDA
Last Name:JAMES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-1928
Mailing Address - Country:US
Mailing Address - Phone:917-586-3235
Mailing Address - Fax:718-421-4225
Practice Address - Street 1:2045 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-7404
Practice Address - Country:US
Practice Address - Phone:718-272-6483
Practice Address - Fax:718-927-2565
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY556901163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice