Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 249051 | NY |
Y | 208600000X | Surgeon | 249051 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 249051 | NY |
N | 208200000X | Surgeon | 249051 | NY |
N | 208600000X | Surgeon | 249051 | NY |
NPI | 1942416771 |
---|---|
Provider Name | Dr. Deana E Paley |
First Address | Watertown, NY 13601-4083 |
Second Address | Watertown, NY 13601-4083 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 06/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03488153 | (05) | NY |
A300098929 | (02) | NY |