MEDICARE: ANDREW JOHN PARA

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
1	207N00000X	Dermatology Physician	306319	NY

General Provider Information

NPI Number	:	1093109134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JOHN PARA

Provider Business Mailing Address
First Line	:	10 UNION SQ E STE 4J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3314
Country	:	US
Telephone Number	:	212-844-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 UNION SQ E STE 4J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3314
Country	:	US
Telephone Number	:	212-844-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2015
Last Update Date	:	04/14/2026

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