PAULA PONS PHYSICIAN LLC – NPI #1033154364
Clinic/Center

PAULA PONS PHYSICIAN LLC is an AHC clinic located in FAYETTEVILLE, NY. NPPES has assigned the NPI number 1033154364 to PAULA PONS PHYSICIAN LLC on June 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 19 years ago on Oct 23, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAULA PONS PHYSICIAN LLC below.

NPI Profile for
PAULA PONS PHYSICIAN LLC

NPI Number
1033154364
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAULA PONS PHYSICIAN LLC
Primary location
4206 MEDICAL CENTER DR STE 203
FAYETTEVILLE, NY 13066
Phone: (315) 329-7770 Fax:
Mailing address
5413 SPRINGVIEW DRIVE
FAYETTEVILLE, NY 13066
Phone: (315) 634-2003 Fax:
Organization Subpart
No
Authorized Official
PAULA PONS
PRESIDENT
Phone: (315) 329-7003
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NY 227287

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.