MEDICARE: MR. PAUL GERGI EL AZOURY M.D.

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	208M00000X	Hospitalist Physician	271599	NY
2	207RN0300X	Nephrology Physician	271599	NY
3	207RN0300X	Nephrology Physician	042.0013886	VT
4	208M00000X	Hospitalist Physician	042.0013886	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225219884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL GERGI EL AZOURY M.D.

Provider Business Mailing Address
First Line	:	75 BEEKMAN ST
Second Line	:
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-1438
Country	:	US
Telephone Number	:	518-561-2000
Fax Number	:	518-562-7542

Provider Business Practice Location Address
First Line	:	75 BEEKMAN STREET
Second Line	:
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901
Country	:	US
Telephone Number	:	518-314-3610
Fax Number	:	518-562-7542

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

Provider Enumeration Date	:	11/23/2007
Last Update Date	:	12/10/2025

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