Pavelock, Robert
Pavelock, Robert is an individual health care provider with primary practice located at 116 Business Park Drive 1St Floor, Utica NY 13502-6313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pavelock, Robert can be contacted via phone (315) 624-7000.Contact Information
Primary practice address
116 Business Park Drive 1St Floor
Utica NY 13502-6313
Phone: (315) 624-7000
Fax: (315) 793-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 174776 | New York |
Profile Details
| NPI number | 1891777413 |
|---|---|
| LBN Legal business name | Pavelock, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jun 5th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891777413 | NPPES |
| New York | MEDICAID | 01240284 |
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