Healthcare Provider Details

I. General information

NPI: 1649374976
Provider Name (Legal Business Name): PAUL S COLCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 E 44TH ST STE 225
NEW YORK NY
10017-4008
US

IV. Provider business mailing address

144 EAST 44TH STREET STE 225
NEW YORK NY
10017-4008
US

V. Phone/Fax

Practice location:
  • Phone: 212-308-4988
  • Fax: 212-949-4034
Mailing address:
  • Phone: 212-308-4988
  • Fax: 212-949-4034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number130928
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: