Individual
DR. PAUL A. FRYMOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7650 LINKSIDE DR., MANLIUS, NY 13104
(315) 682-4468
Mailing address
7650 LINKSIDE DR., MANLIUS, NY 13104
(315) 682-4468
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
140841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040148603
UNIVERA SENIOR CHOICE
NY
01
—
000914918001
HEALTHNOW
NY
05
—
00510527
—
NY
01
—
100024666301
UNITED HEALTHCARE
NY
01
—
10119424
CDPHP
NY
01
—
110059026
RAILROAD MEDICARE
NY
01
—
3399723
GHI
NY
01
—
4535674
AETNA
NY
01
—
950184
MVP
NY
Enumeration date
11/16/2005
Last updated
02/03/2009
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