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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1306926282 NPPES
New York MEDICAID 01249678

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