Organization
DEPARTMENT OF MEDICINE MSG
Active
Other names
University Physicians-Oswego
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. IANNUZZI MD (PRESIDENT)
(315) 464-4505
Entity
Organization
Contact information
Practice address
140 W 6TH ST, SUITE 110, OSWEGO, NY 13126-2525
(315) 342-6215
(315) 342-6219
Mailing address
140 W 6TH ST, SUITE 110, OSWEGO, NY 13126-2525
(315) 342-6215
(315) 342-6219
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00459903
—
NY
Enumeration date
07/21/2006
Last updated
07/16/2013
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