Davidson, Paul Gregory
Davidson, Paul Gregory is an individual health care provider with primary practice located at 4401 Middle Settlement Road Suite 208, New Hartford NY 13413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Davidson, Paul Gregory can be contacted via phone (315) 797-3430.Contact Information
Primary practice address
4401 Middle Settlement Road Suite 208
New Hartford NY 13413
Phone: (315) 797-3430
Fax: (315) 624-7383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 172748 | New York |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 172748 | New York |
Profile Details
| NPI number | 1306926282 |
|---|---|
| LBN Legal business name | Davidson, Paul Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Feb 27th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306926282 | NPPES |
| New York | MEDICAID | 01249678 |
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