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Organization
DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP
Active
Organization
DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP
Active
Other names
University Physicians - Homer
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL IANNUZZI (MD)
(315) 464-3835
Entity
Organization
Contact information
Practice address
82 COPELAND AVE, HOMER, NY 13077-1528
(607) 749-2640
(607) 749-2644
Mailing address
82 COPELAND AVE, HOMER, NY 13077-1528
(607) 749-2640
(607) 749-2644
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
09/02/2014
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