Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 297955 | NY |
N | 207X00000X | Orthopaedic Surgeon | 69609 | CT |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 297955 | NY |
NPI | 1386084010 |
---|---|
Provider Name | Andrew William Pao |
First Address | Middletown, NY 10941-4028 |
Second Address | Middletown, NY 10941-7001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 22/10/2021 |