Healthcare Provider Details

I. General information

NPI: 1669445326
Provider Name (Legal Business Name): JOSEPH S. PAZIENZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2546 BALLTOWN RD SUITE 100
SCHENECTADY NY
12309-1079
US

IV. Provider business mailing address

6 WELLNESS WAY
LATHAM NY
12110-2156
US

V. Phone/Fax

Practice location:
  • Phone: 518-372-1344
  • Fax: 518-372-9848
Mailing address:
  • Phone: 518-782-3700
  • Fax: 518-782-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number176417
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: