MR. Paul Baxter Shorter SR., CRPA

NPI #1366232415 in Menands, New York

Provider Information

NPI Number: 1366232415
Entity Type: Individual
Name: MR. Paul Baxter Shorter SR., CRPA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRPA
Enumeration Date: May 12, 2025
Last Updated: May 12, 2025

Practice Location

Address: 444 BROADWAY
City: Menands
State: New York
ZIP Code: 12204-2887
Phone: (518) 205-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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