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Organization

DEPARTMENT OF MEDICINE MSG

Active
Other names
University Internists/Hospitalists
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C. IANNUZZI MD (PRESIDENT)
(315) 464-4505
Entity
Organization

Contact information

Practice address
550 HARRISON ST, SUITE 200, SYRACUSE, NY 13202-3096
(315) 464-6527
(315) 464-6529
Mailing address
550 HARRISON ST, SUITE 200, SYRACUSE, NY 13202-3096
(315) 464-6527
(315) 464-6529

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00459903
NY
Enumeration date
07/20/2006
Last updated
10/13/2010
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