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NPI Code Detail

MEDICARE: MR. PAUL ADRIAN POWELL P.A

MEDICARE: MR. PAUL ADRIAN POWELL P.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0193971NY
2363AM0700XMedical Physician Assistant019397NY

General Provider Information

NPI Number : 1003277476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL ADRIAN POWELL P.A
Provider Business Mailing Address
First Line : 7901 BROADWAY
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1329
Country : US
Telephone Number : 718-334-4000
Fax Number :
Provider Business Practice Location Address
First Line : 7901 BROADWAY
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1329
Country : US
Telephone Number : 718-334-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2016
Last Update Date : 03/19/2026

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