Basic Information
| Provider Information | |||||||||
| NPI: | 1942278080 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARUGNO | ||||||||
| FirstName: | PAOLA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 57 CIRCLE DR | ||||||||
| Address2: | |||||||||
| City: | HASTINGS ON HUDSON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107061905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795800 | ||||||||
| FaxNumber: | 7185794700 | ||||||||
| Practice Location | |||||||||
| Address1: | 234 E 149TH ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795800 | ||||||||
| FaxNumber: | 7185794700 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2006 | ||||||||
| LastUpdateDate: | 09/29/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0008X | 207796 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neurodevelopmental Disabilities |
No ID Information.