Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 176073 | NY |
NPI | 1033190541 |
---|---|
Provider Name | Philip S K Paty |
First Address | Latham, NY 12110-2442 |
Second Address | Queensbury, NY 12804-1714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 21/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01475667 | (05) | NY |