Provider Demographics
NPI:1316180573
Name:PAOLUCCI, PATRICE RENEE (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:RENEE
Last Name:PAOLUCCI
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Gender:F
Credentials:DO
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Mailing Address - Street 1:792 N MAIN ST
Mailing Address - Street 2:STE 100A
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-1644
Mailing Address - Country:US
Mailing Address - Phone:315-423-9722
Mailing Address - Fax:315-423-9687
Practice Address - Street 1:770 JAMES ST
Practice Address - Street 2:STE 100
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2117
Practice Address - Country:US
Practice Address - Phone:315-422-2222
Practice Address - Fax:315-472-8497
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2015-10-09
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Provider Licenses
StateLicense IDTaxonomies
NY267970207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology