Individual
DR. PAUL ENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NORTHERN BLVD STE 201, GREAT NECK, NY 11021-5323
(516) 838-8490
(516) 773-7575
Mailing address
825 NORTHERN BLVD STE 201, GREAT NECK, NY 11021-5323
(516) 773-7500
(516) 772-7575
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
195459
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
195459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01597713
—
NY
Enumeration date
05/24/2006
Last updated
10/20/2020
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