Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 303234 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 303234 | NY |
NPI | 1346874765 |
---|---|
Provider Name | Dr. Paulo Roberto De Paula Selber |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2020 |
Last Update Date | 18/01/2022 |