Paula Pons Physician Llc

NPI 1033154364 - Clinic/Center - 261QA1903X

NPI Details
NPI 1033154364
Enumeration Date 06/19/2006
Last Updated 10/23/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAULA PAULA
Position PRESIDENT
Phone (315) 329-7770
Fax
Practice Location
4206 MEDICAL CENTER DR STE 203
FAYETTEVILLE NY, 13066, US
Phone (315) 329-7770
Fax
Business Location
5413 SPRINGVIEW DRIVE
FAYETTEVILLE NY, 13066, US
Phone (315) 634-2003
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State New York
License Number 227287
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According to our database, Paula Pons Physician Llc NPI is 1033154364, taxonomy code is 261QA1903X and license number is 227287, license state is located at New York. Paula Pons Physician Llc physically located at 4206 Medical Center Dr Ste 203, Fayetteville NY, 13066. NPI Number 1033115704 has the healthcare provider type.

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1033154364 NPI number is provided on an as is basis without warranty of any kind. 1033154364 is maintained by the National Plan & Provider Enumeration System. The contents of Paula Pons Physician Llc are for informational purposes only.