Individual
PAUL A BRISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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