Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 144585 | NY |
NPI | 1003873902 |
---|---|
Provider Name | Dr. Paul E Nacier |
First Address | Brooklyn, NY 11203-3049 |
Second Address | Brooklyn, NY 11203-3049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 16/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A300058444 | PTAN (01) | NY |
B14362 | (02) | NY |