IndividualActive
Paul Gazzara, M.D.
NPI 1366417677 · Addiction Medicine (Internal Medicine) Physician · Staten Island, NY
Provider details
- NPI number
- 1366417677
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 162022 (NY)
Practice location
3589 Hylan Blvd
Staten Island, NY 10308-3513
Phone: (718) 966-3700
Fax: (718) 966-0433
Mailing address
3589 Hylan Blvd
Staten Island, NY 10308-3513
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.