Provider Demographics
NPI:1053889378
Name:PAUL WRIGHT, M.D.
Entity type:Organization
Organization Name:PAUL WRIGHT, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-721-6352
Mailing Address - Street 1:500 N BROADWAY STE 166
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2129
Mailing Address - Country:US
Mailing Address - Phone:516-274-3020
Mailing Address - Fax:516-274-3020
Practice Address - Street 1:500 N BROADWAY STE 16
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2127
Practice Address - Country:US
Practice Address - Phone:516-274-3020
Practice Address - Fax:516-274-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty