Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 193064 | NY |
NPI | 1235114349 |
---|---|
Provider Name | Paul Douglas Paterson |
First Address | North Tonawanda, NY 14120-2019 |
Second Address | Buffalo, NY 14215-3021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2005 |
Last Update Date | 08/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02047092 | (05) | NY |
H02983 | (02) | NY |