Provider Demographics
NPI:1962920421
Name:TEIXEIRA, PAUL A (DRPH, MPH, MA, LP)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:TEIXEIRA
Suffix:
Gender:M
Credentials:DRPH, MPH, MA, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 65TH ST APT 27E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6665
Mailing Address - Country:US
Mailing Address - Phone:646-824-7857
Mailing Address - Fax:
Practice Address - Street 1:33 W 60TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7905
Practice Address - Country:US
Practice Address - Phone:212-333-3444
Practice Address - Fax:212-333-3444
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001170102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst