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Individual

PAUL AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2470 RIVERFRONT CENTER, AMSTERDAM, NY 12010-4612
(518) 842-7732
(518) 842-2333
Mailing address
2470 RIVERFRONT CENTER, AMSTERDAM, NY 12010-4612
(518) 842-7732
(518) 842-2333

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1472821
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00405339001
BLUE SHIELD
05
00700129
NY
Enumeration date
12/12/2006
Last updated
07/08/2007
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