Basic Information
Provider Information
NPI: 1083876932
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAOLO
FirstName: WILLIAM
MiddleName: F
NamePrefix: DR.
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 462 1ST AVE
Address2: NYU/BELLEVUE EMERGENCY MEDICINE
City: NEW YORK
State: NY
PostalCode: 100169196
CountryCode: US
TelephoneNumber: 2125624317
FaxNumber:  
Practice Location
Address1: 462 1ST AVE
Address2: NYU/BELLEVUE EMERGENCY MEDICINE
City: NEW YORK
State: NY
PostalCode: 100169196
CountryCode: US
TelephoneNumber: 2125624317
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/01/2008
LastUpdateDate: 07/01/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X244756NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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