Provider Demographics
NPI:1629374160
Name:MARINUZZI, PAUL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:MARINUZZI
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-2321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9841 RIVER RD
Practice Address - Street 2:STE 2
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-2358
Practice Address - Country:US
Practice Address - Phone:315-534-3864
Practice Address - Fax:315-400-0931
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70012119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor