Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 232515 | NY |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 232515 | NY |
Y | 207V00000X | Obstetrician & Gynecologist | 232515 | NY |
NPI | 1205949476 |
---|---|
Provider Name | Paul Anthony Cabral |
First Address | Rochester, NY 14621-3038 |
Second Address | Rochester, NY 14621-3038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03014775 | (05) | NY |