Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 277810 | NY |
NPI | 1003178732 |
---|---|
Provider Name | Dr. Allison Kathleen Paul |
First Address | Bronx, NY 10458-5871 |
Second Address | Bronx, NY 10458-5871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 16/09/2016 |