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NPI Code Detail

MEDICARE: MARK PAQUETTE DO

MEDICARE:   MARK  PAQUETTE  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician332739NY

General Provider Information

NPI Number : 1972253672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK PAQUETTE DO
Provider Business Mailing Address
First Line : 43 NEW SCOTLAND AVENUE, DEPT. OF EMERGENCY MEDICINE
Second Line :
City : ALBANY
State : NY
Zip : 12208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 E GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-2158
Country : US
Telephone Number : 315-464-6211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 12/24/2025

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Directions to “ MARK PAQUETTE DO” Practice Location

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