Provider Demographics
NPI:1518941293
Name:AARONSON, PAUL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SCOTT
Last Name:AARONSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10923 71ST ROAD
Mailing Address - Street 2:BASEMENT
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-544-5670
Mailing Address - Fax:718-520-7105
Practice Address - Street 1:10923 71ST ROAD
Practice Address - Street 2:BASEMENT
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-544-5670
Practice Address - Fax:718-520-7105
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196568208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02229192Medicaid
G29150Medicare UPIN
51866HMedicare ID - Type Unspecified
NY02229192Medicaid