Organization
GIANNA OF SYRACUSE MEDICAL PLLC
Active
Other names
Restore Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KRISTAN MD (OWNER)
(405) 640-5576
Entity
Organization
Contact information
Practice address
1880 E RIDGE RD STE 8, ROCHESTER, NY 14622-2450
(585) 310-8787
Mailing address
1141 EAST UNION ST., #9201, SYRACUSE, NY 13219-1919
(585) 310-8787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05240455
—
NY
Enumeration date
03/03/2020
Last updated
02/28/2025
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