Provider Demographics
NPI:1265394175
Name:ABREU, PAUL JAMES (CRPA, CARC AND CPS)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JAMES
Last Name:ABREU
Suffix:
Gender:M
Credentials:CRPA, CARC AND CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 WHITE SANDS WAY
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1259
Mailing Address - Country:US
Mailing Address - Phone:917-450-5159
Mailing Address - Fax:
Practice Address - Street 1:188 WHITE SANDS WAY
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1259
Practice Address - Country:US
Practice Address - Phone:917-450-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYCPS-P-46324175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty