Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 206321 | NY |
NPI | 1205864071 |
---|---|
Provider Name | Dr. Paul F Gleason |
First Address | Rye, NY 10580-1404 |
Second Address | Rye, NY 10580-1404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 10/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01986167 | (05) | NY |