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Organization
PATSY M IANNOLO MD, PHD, P C
Active
Organization
PATSY M IANNOLO MD, PHD, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATSY M IANNOLO M.D. (PRESIDENT)
(315) 452-4622
Entity
Organization
Contact information
Practice address
5180 W TAFT RD, N SYRACUSE, NY 13212-2601
(315) 458-4622
(315) 458-9629
Mailing address
5180 W TAFT RD, P O BOX 346, N SYRACUSE, NY 13212-2601
(315) 458-4622
(315) 458-9629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
12/13/2012
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