Provider Demographics
NPI:1932261310
Name:BLUESTEIN, PAUL S (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:BLUESTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2274 NIAGARA FALLS BLVD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-4735
Mailing Address - Country:US
Mailing Address - Phone:716-693-6058
Mailing Address - Fax:716-693-6624
Practice Address - Street 1:2274 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-4735
Practice Address - Country:US
Practice Address - Phone:716-691-8916
Practice Address - Fax:716-691-6624
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002758111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT26080Medicare UPIN