Provider Demographics
NPI:1942244512
Name:ORT, PAUL JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:ORT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:39 GRAMERCY PARK N
Mailing Address - Street 2:17D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6302
Mailing Address - Country:US
Mailing Address - Phone:212-951-3354
Mailing Address - Fax:212-951-3373
Practice Address - Street 1:DEPT. OF VETERANS AFFAIRS
Practice Address - Street 2:423 EAST 23 STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-951-3354
Practice Address - Fax:212-951-3373
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY108841204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB78589Medicare UPIN