Healthcare Provider Details

I. General information

NPI: 1033146238
Provider Name (Legal Business Name): PAUL S CURTIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19472 US ROUTE 11
WATERTOWN NY
13601
US

IV. Provider business mailing address

PO BOX 168
ADAMS NY
13605-0168
US

V. Phone/Fax

Practice location:
  • Phone: 315-782-9364
  • Fax: 315-782-9365
Mailing address:
  • Phone: 315-779-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number1089981
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number108998
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: