Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 239955 | NY |
NPI | 1053384453 |
---|---|
Provider Name | Paul C. Garell |
First Address | Carmel, NY 10512-3997 |
Second Address | Carmel, NY 10512-3997 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 11/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02820928 | (05) | NY |
G52785 | (02) |