Healthcare Provider Details

I. General information

NPI: 1073584447
Provider Name (Legal Business Name): PAUL JOSEPH OKOSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3044 ROUTE 50
SARATOGA SPRINGS NY
12866-2906
US

IV. Provider business mailing address

PO BOX 10121
ALBANY NY
12201-5121
US

V. Phone/Fax

Practice location:
  • Phone: 518-886-5800
  • Fax: 518-886-5805
Mailing address:
  • Phone: 518-886-5800
  • Fax: 518-886-5805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1628961
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: