Individual
DR. PAUL JOSEPH HUSSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 E STATE ST, MAB-GPCC, GLOVERSVILLE, NY 12078-1203
(518) 775-4133
(518) 773-5620
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 775-4133
(518) 773-5620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
251814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03382616
—
NY
01
—
1104085851
MVP HEALTHCARE
NY
01
—
200230284
CDPHP
NY
Enumeration date
06/07/2008
Last updated
01/21/2015
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