Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 209257 | NY |
Y | 207Q00000X | Family Doctor | 209257 | NY |
NPI | 1417958810 |
---|---|
Provider Name | William A Papura |
First Address | Glens Falls, NY 12801-4413 |
Second Address | Greenwich, NY 12834-6107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01805494 | (05) | NY |
G65345 | (02) | NY |