Provider Demographics
NPI:1649570011
Name:PAYNTER, HARRY SKIP
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:SKIP
Last Name:PAYNTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BENNER RD
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1543
Mailing Address - Country:US
Mailing Address - Phone:845-758-0241
Mailing Address - Fax:845-758-5746
Practice Address - Street 1:30 BENNER RD
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1543
Practice Address - Country:US
Practice Address - Phone:845-758-0241
Practice Address - Fax:845-758-5746
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program