Traverse, Paul W

Traverse, Paul W is an individual health care provider with primary practice located at 30 Harrison St Ste 250, Johnson City NY 13790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Traverse, Paul W can be contacted via phone (607) 770-8600.

Contact Information

Primary practice address
30 Harrison St Ste 250 Johnson City NY 13790
Phone: (607) 770-8600
Fax: (607) 770-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 139286 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 139286 New York

Profile Details

NPI number 1194766733
LBN Legal business name Traverse, Paul W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 8th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194766733 NPPES
New York MEDICAID 00766707

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