National Provider Identifier
Paul Peter Povanda, D.O.
Paul Peter Povanda, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Elmira, NY and a listed phone number of (607) 734-1581.
Profile Overview
- NPI
- 1164525325
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- September 06, 2006
- Last Updated
- November 30, 2020
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1676
Phone: (607) 734-1581
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1164525325
- Entity Type
- Individual
- Last Name
- Povanda
- First Name
- Paul
- Middle Name
- Peter
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1676
- Practice Country
- US
- Practice Phone
- (607) 734-1581
- Practice Fax
- (607) 767-3661
- Enumeration Date
- September 06, 2006
- Last Updated
- November 30, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01693278 (NY)