Organization
DEPARTMENT OF MEDICINE MSG
Active
Other names
Manlius
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. IANNUZZI MD (PRESIDENT)
(315) 464-4505
Entity
Organization
Contact information
Practice address
102 W SENECA ST, MANLIUS, NY 13104-2480
(315) 464-9335
(315) 464-9338
Mailing address
102 W SENECA ST, MANLIUS, NY 13104-2480
(315) 464-9335
(315) 464-9338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00459903
—
NY
Enumeration date
07/21/2006
Last updated
10/13/2010
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