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Organization

DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP

Active
Other names
University Physicians Infusion Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C. IANNUZZI MD (PRESIDENT)
(315) 464-3835
Entity
Organization

Contact information

Practice address
1000 E GENESEE ST, SUITE 403, SYRACUSE, NY 13210-1892
(315) 464-2929
(315) 464-2930
Mailing address
1000 E GENESEE ST, SUITE 403, SYRACUSE, NY 13210-1892
(315) 464-2929
(315) 464-2930

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
NY
207RR0500X
Rheumatology Physician
NY
332B00000X
Durable Medical Equipment & Medical Supplies
NY

Other

Enumeration date
07/27/2006
Last updated
07/16/2013
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