Healthcare Provider Details

I. General information

NPI: 1073530804
Provider Name (Legal Business Name): PAUL ALAN DRESCHNACK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 FRANKLIN AVE
GARDEN CITY NY
11530
US

IV. Provider business mailing address

26112 TOWN GREEN DR
ELMSFORD NY
10523-1586
US

V. Phone/Fax

Practice location:
  • Phone: 212-433-0920
  • Fax:
Mailing address:
  • Phone: 212-433-0920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number170697
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number170697
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: