Patsy M Iannolo Md, Phd, P C | |
5180 W Taft Rd N Syracuse NY 13212-2601 | |
(315) 458-4622 | |
(315) 458-9629 |
Full Name | Patsy M Iannolo Md, Phd, P C |
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Speciality | Internal Medicine |
Location | 5180 W Taft Rd, N Syracuse, New York |
Authorized Official Name and Position | Patsy M Iannolo (PRESIDENT) |
Authorized Official Contact | 3154524622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patsy M Iannolo Md, Phd, P C 5180 W Taft Rd P O Box 346 N Syracuse NY 13212-2601 Ph: (315) 458-4622 | Patsy M Iannolo Md, Phd, P C 5180 W Taft Rd N Syracuse NY 13212-2601 Ph: (315) 458-4622 |
NPI Number | 1366582694 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 12/13/2012 |
Medicare PECOS PAC ID | 4284690199 |
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Medicare Enrollment ID | O20041202000579 |
Identifier | Type | State | Issuer |
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1366582694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Patsy M Iannolo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821138165 PECOS PAC ID: 7810953726 Enrollment ID: I20081216000444 |
Provider Name | Tina L Finlayson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497072136 PECOS PAC ID: 2365631132 Enrollment ID: I20110110000241 |
Suzanne M Lamanna Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Suite 100b, N Syracuse, NY 13212 Phone: 315-458-4623 Fax: 315-458-4652 |