Augusto Felix Gerodias Paulino, M.D.
Individual provider Active NPI Anatomic Pathology Physician · Bronx, NY
NPI 1235276262 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235276262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology Physician 207ZP0101X
- License
- 236234-1 (NY)
- Practice address
- 111 E 210TH St
Montefiore Med Ctr, Pathology Dept, North4 Silver Zone
Bronx, NY 10467-2401 - Phone
- (718) 920-4976
- Fax
- (718) 920-7611
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236234-1 | NY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 236234-1 | NY | Yes |
Addresses
Primary practice location
111 E 210TH St
Montefiore Med Ctr, Pathology Dept, North4 Silver Zone
Bronx, NY 10467-2401
Mailing address
460 E 79TH St Apt 6F
New York, NY 10021-1418
Phone (718) 920-4976
Other providers in Bronx, NY
- Arleny M Paulino Sanchez
- Katherine Paulino-Gomez
- Alvellin Paulino
- Ana Paulino
- Angie Paulino
- Chelsea Paulino
- Cynthia Paulino
- Deyanira Paulino
- Eileen Paulino
- Glasmary Paulino
All providers in Bronx, NY · Anatomic Pathology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.