Provider Demographics
NPI:1922261494
Name:ENGELMAN, PAUL (MS, LAC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:ENGELMAN
Suffix:
Gender:M
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 TIEMANN PL APT 43
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-3333
Mailing Address - Country:US
Mailing Address - Phone:917-536-5577
Mailing Address - Fax:
Practice Address - Street 1:55 TIEMANN PL APT 43
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-3333
Practice Address - Country:US
Practice Address - Phone:917-536-5577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-05
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003848171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist