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General NPI Number Information
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NPI Number | 1275510828
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Entity Type | Individual
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Provider Name | PAUL WRIGHT M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2005
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 21 READE PL STE 1100
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3986
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Country | US
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Telephone | 845-214-1922
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Fax | 845-214-1930
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Provider Business Mailing Address
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Address Line | 500 N BROADWAY STE 166
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City | JERICHO
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State | NY
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Zip | 11753-2129
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Country | US
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Telephone | 516-274-3020
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Fax | 516-274-3020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 208741
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 208741-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 64881
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License Number State | CT
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