Provider Demographics
NPI:1588757272
Name:PAUL, HENRY ALLAN
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:ALLAN
Last Name:PAUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0510
Mailing Address - Country:US
Mailing Address - Phone:212-876-9075
Mailing Address - Fax:212-427-1200
Practice Address - Street 1:11 E 88TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0510
Practice Address - Country:US
Practice Address - Phone:212-876-9075
Practice Address - Fax:212-427-1200
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1124522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY295421Medicare UPIN