Individual
JOSEPH IANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 E ORVIS ST, MASSENA, NY 13662-4232
(315) 276-3335
Mailing address
6461 PURCELL ROAD, SOUTH GLENGARRY, ON K6H 7-T6
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306354220
—
NY
Enumeration date
02/15/2019
Last updated
02/15/2019
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