Provider Demographics
NPI:1174599062
Name:CHOINSKI, PAUL A (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:CHOINSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:260 E MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2982
Mailing Address - Country:US
Mailing Address - Phone:631-265-8780
Mailing Address - Fax:631-265-8521
Practice Address - Street 1:186 OLD TOWN RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5013
Practice Address - Country:US
Practice Address - Phone:631-265-8780
Practice Address - Fax:631-265-8521
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2013-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY173478207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400009841OtherPTAN
4085670001Medicare NSC
NYA400009841OtherPTAN
NY44F761Medicare PIN
NYA100052790Medicare PIN
NYA400052793Medicare PIN