Doctor Name: | PAUL BARRY KRIVITSKY |
NPI Number: | 1184707564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G40102 |
Business Practice Address: | 140 Academy St Presque Isle, ME - 047693102 |
Business Phone Number: | 2077684382 |
Business Fax Number: | |
Mailing Address: | 5 Third St, PRESQUE ISLE |
State: | ME |
Postal Code: | 04769 |
Phone Number: | 7142676185 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G40102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |