Individual
TANYA RENEE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 LANSING STREET, 1ST FLOOR, AUBURN, NY 13021-1852
(315) 252-5082
(315) 252-1587
Mailing address
17 LANSING ST FL 1, AUBURN, NY 13021-1983
(315) 252-5082
(315) 252-1587
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
218915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097161
—
NY
Enumeration date
05/10/2006
Last updated
03/23/2021
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