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Contact Information

NATALIE A PAVELOCK, MD
116 BUSINESS PARK DRIVE
1ST FLOOR
UTICA, NY13502
 Phone: 315-624-7000
 Fax: 315-793-1129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for NATALIE A PAVELOCK · (Female)

NPI Number 1629337878
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2012
Last updated 07/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2017-0011
  • NY License # 308513
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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