Provider Demographics
NPI:1154580256
Name:DORSCHEID, PAUL MARTIN (MSN, ANP-C)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:MARTIN
Last Name:DORSCHEID
Suffix:
Gender:M
Credentials:MSN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PEACEFUL HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-4609
Mailing Address - Country:US
Mailing Address - Phone:585-697-4482
Mailing Address - Fax:
Practice Address - Street 1:41 PEACEFUL HARBOR LN
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-4609
Practice Address - Country:US
Practice Address - Phone:585-697-4482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301776-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health