Provider Demographics
NPI:1285481556
Name:FILOSOPO, PAULINO SANCHEZ III
Entity type:Individual
Prefix:MR
First Name:PAULINO
Middle Name:SANCHEZ
Last Name:FILOSOPO
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3654 WALDO AVE APT A1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2274
Mailing Address - Country:US
Mailing Address - Phone:929-620-7417
Mailing Address - Fax:
Practice Address - Street 1:3654 WALDO AVE APT A1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2274
Practice Address - Country:US
Practice Address - Phone:929-620-7417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014227208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation