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Organization

MICHELE C PAUPORTE MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE PAUPORTE MD (OWNER)
(415) 305-3478
Entity
Organization

Contact information

Practice address
120 E 86TH ST FL 2, NEW YORK, NY 10028
(212) 427-1898
Mailing address
120 E 86TH ST FL 2, NEW YORK, NY 10028-1062
(212) 427-1898

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104395839
TYPE 2 NPI
NY
Enumeration date
11/26/2018
Last updated
06/11/2019
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