Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 108998 | NY |
NPI | 1033146238 |
---|---|
Provider Name | Mr. Paul S Curtis |
First Address | Adams, NY 13605-0168 |
Second Address | Watertown, NY 13601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00574896 | (05) | NM |
B81046 | (02) | NY |