Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 08056 | MS |
N | 207YS0123X | Facial Plastic Surgeon | 08056 | MS |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 08056 | MS |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 153582 | NY |
NPI | 1689669707 |
---|---|
Provider Name | Dr. Paul Plez Tinsley |
First Address | Elmira, NY 14901-3230 |
Second Address | Horseheads, NY 14845-8301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 14/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009932725 | MEDICAID OF AL (01) | |
01510443 | (05) | NY |
07955361 | (05) | MS |
73104019 | BLUE CROSS OF AL (01) |