Provider Demographics
NPI:1275510828
Name:WRIGHT, PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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 1:21 READE PL STE 1100
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3986
Practice Address - Country:US
Practice Address - Phone:845-214-1922
Practice Address - Fax:845-214-1930
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208741174400000X
NY208741-12084N0400X
CT648812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8640744003OtherCIGNA HEALTHCARE
NYP2375137OtherOXFORD HEALTH PLAN
NY000N31OtherEMPIRE HEALTHCHOICE
NY112434927OtherANTHEM HEALTH NETWORK
NY3C0861OtherPHS/ACS
NY112434927OtherHORIZON HEALTHCARE PPO
NY112434927OtherFIRST HEALTH
NY112434927OtherSELECT PRO
NY112434927OtherBEECH STREET CORPORATION
NY112434927OtherTPA/BENESIGHT
NY112434927OtherONE HEALTH PLAN
NY112434927OtherMULTIPLAN
NY112434927OtherPHCS
NY2059139OtherEMPIRE PLAN/UNITED HEALTH
NY7640280OtherAETNA MC/PPO/EPO
NY2645173OtherAETNA HMO
NY112434927OtherFIRST HEALTH
NY3C0861OtherPHS/ACS