MEDICARE: DR. PAUL STUART APPELBAUM 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	2084P0800X	Psychiatry Physician	237042	NY

General Provider Information

NPI Number	:	1881755254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL STUART APPELBAUM M.D.

Provider Business Mailing Address
First Line	:	39 CLAREMONT AVE
Second Line	:	#24
City	:	NEW YORK
State	:	NY
Zip	:	10027-6816
Country	:	US
Telephone Number	:	212-543-4184
Fax Number	:	212-543-6752

Provider Business Practice Location Address
First Line	:	1051 RIVERSIDE DR
Second Line	:	#122
City	:	NEW YORK
State	:	NY
Zip	:	10032-1007
Country	:	US
Telephone Number	:	212-543-4184
Fax Number	:	212-543-6752

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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