Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul W Traverse, MD

Individual provider Cardiovascular Disease Physician · NPI 1194766733

Paul W Traverse, MD is a Cardiovascular Disease Physician in Johnson City, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Harrison St Ste 250
Johnson City, NY 13790
Phone: (607) 770-8600
Fax: (607) 770-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 139286 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 139286 (NY)

Record details

NPI number1194766733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESFebruary 8, 2011
Mailing address30 Harrison St, Ste 250, Johnson City, NY 13790

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