| Gianna Of Syracuse Medical Pllc | |
|
127 Chapel Dr. Syracuse NY 13219-1919 | |
| (585) 310-8787 | |
| Not Available |
| Full Name | Gianna Of Syracuse Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 127 Chapel Dr., Syracuse, New York |
| Authorized Official Name and Position | Angela Kristan (OWNER) |
| Authorized Official Contact | 4056405576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gianna Of Syracuse Medical Pllc 127 Chapel Dr. Syracuse NY 13219-1919 Ph: (585) 310-8787 | Gianna Of Syracuse Medical Pllc 127 Chapel Dr. Syracuse NY 13219-1919 Ph: (585) 310-8787 |
| NPI Number | 1104451848 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104451848 | NPI | - | NPPES |
| 05240455 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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