Provider Demographics
NPI:1295841096
Name:KNIGHT, PAUL R III (MD, PHD)
Entity Type:Individual
Prefix:PROF
First Name:PAUL
Middle Name:R
Last Name:KNIGHT
Suffix:III
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 W OAKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-3042
Mailing Address - Country:US
Mailing Address - Phone:716-774-8470
Mailing Address - Fax:716-862-8709
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:VHAWNY ROOM 203C
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1129
Practice Address - Country:US
Practice Address - Phone:716-862-8706
Practice Address - Fax:716-862-8709
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191434-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology