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Individual

DR. PAUL C GIASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5831 MIRALAGO LN, BREWERTON, NY 13029-8664
(315) 727-0741
Mailing address
5831 MIRALAGO LN, BREWERTON, NY 13029-8664
(315) 727-0741

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
229364
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000156065
BLUE SHIELD
NY
05
02426979
NY
Enumeration date
04/28/2006
Last updated
01/28/2013
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