Provider Demographics
NPI:1386493443
Name:PALADINO, TARA NICOLE (RN)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:NICOLE
Last Name:PALADINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ZACHARY CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2672
Mailing Address - Country:US
Mailing Address - Phone:347-576-5551
Mailing Address - Fax:
Practice Address - Street 1:51 E 25TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8211
Practice Address - Country:US
Practice Address - Phone:212-598-0331
Practice Address - Fax:212-475-3798
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY910606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse