Provider Demographics
NPI:1316151426
Name:GIRALDO, PAULINA (DC)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:GIRALDO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 JOHN ST STE 1460
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3136
Mailing Address - Country:US
Mailing Address - Phone:646-509-0759
Mailing Address - Fax:646-365-3072
Practice Address - Street 1:111 JOHN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3101
Practice Address - Country:US
Practice Address - Phone:646-509-0759
Practice Address - Fax:646-365-3072
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010326-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor