National Provider Identifier
Paul S Whitehead, M.D.
Paul S Whitehead, M.D. is listed in the NPPES registry with a primary specialty of Specialist in Canandaigua, NY and a listed phone number of (585) 394-4846.
Profile Overview
- NPI
- 1720081169
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- May 31, 2005
- Last Updated
- September 27, 2007
Practice Location
- 3200 West St
- Canandaigua, NY 14424-1722
Phone: (585) 394-4846
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1720081169
- Entity Type
- Individual
- Last Name
- Whitehead
- First Name
- Paul
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 3200 West St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1722
- Mailing Country
- US
- Mailing Phone
- (585) 394-4846
- Mailing Fax
- (585) 394-1309
- Practice Street Address
- 3200 West St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1722
- Practice Country
- US
- Practice Phone
- (585) 394-4846
- Practice Fax
- (585) 394-1309
- Enumeration Date
- May 31, 2005
- Last Updated
- September 27, 2007
- Deactivation Date
- March 20, 2006
- Reactivation Date
- March 30, 2006
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 00902685 (NY)