MEDICARE: PAUL GREGORY ALAGNA MD

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	207P00000X	Emergency Medicine Physician	A192550	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70021A	OTHER		NY

General Provider Information

NPI Number	:	1790773885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL GREGORY ALAGNA MD

Provider Business Mailing Address
First Line	:	100 PARK ST
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-4413
Country	:	US
Telephone Number	:	518-926-3120
Fax Number	:	518-926-5102

Provider Business Practice Location Address
First Line	:	100 PARK ST
Second Line	:	GLENS FALLS HOSPITAL
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-4413
Country	:	US
Telephone Number	:	518-926-1000
Fax Number	:

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	05/21/2008

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