Individual
DR. PAUL SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-6569
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-6569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11545
NH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
Primary
306286
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
11545
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE6718
—
VT
05
—
30202290
—
NH
05
—
3079206
—
NH
01
—
P00204026
NH MEDICARE #
NH
Enumeration date
11/13/2006
Last updated
07/28/2020
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