Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 08862R | LA |
N | 208600000X | Surgeon | 08862R | LA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 170697 | NY |
NPI | 1073530804 |
---|---|
Provider Name | Mr. Paul Alan Dreschnack |
First Address | New York, NY 10021-4964 |
Second Address | New York, NY 10021-7964 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 07/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5N865 | (02) | FL |
F19135 | (02) | LA |