Individual
PAUL A BRISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
624 MCCLELLAN ST, SUITE 202, SCHENECTADY, NY 12304-1020
(518) 377-6429
(518) 377-1291
Mailing address
624 MCCLELLAN ST, SUITE 202, SCHENECTADY, NY 12304-1020
(518) 377-6429
(518) 377-1291
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
164835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01069227
—
NY
01
—
02223
MVP
NY
01
—
040426006654
FIDELIS
NY
01
—
10000212
CDPDP
NY
01
—
1000052185
AFFINITY
NY
01
—
28F363
BC
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
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