PAULIQUE FANOURIA MEDINA

ASTORIA, NY
NPI1447905997
Former NamePAULIQUE CARDONA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  113082)
Enumeration Date2022-02-14
Last Update Date2022-02-14
Business Address
PAULIQUE FANOURIA MEDINA LMSW
2258 47TH ST
ASTORIA, NY 11105-1310
Phone number: 646-884-3269
Mailing Address
PAULIQUE FANOURIA MEDINA LMSW
2258 47TH ST
ASTORIA, NY 11105-1310
Phone number: 646-884-3269