Pauletta Dickerson
Technician/Technologist
18009 Jamaica Ave
Jamaica
, New York 11432-5620
Pauletta Dickerson
Technician/Technologist
18009 Jamaica Ave
Jamaica
, New York 11432-5620
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Pauletta Dickerson
- 16004 Crossbay Blvd # 105
- Howard Beach, NY
- Zip : 11414-3407
- Phone :
Second Address
- Pauletta Dickerson
- 18009 Jamaica Ave
- Jamaica, NY
- Zip : 11432-5620
- Phone : (347) 987-0883
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1295248151 |
|---|---|
| Provider Name | Pauletta Dickerson |
| First Address | Howard Beach, NY 11414-3407 |
| Second Address | Jamaica, NY 11432-5620 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2017 |
| Last Update Date | 13/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.