Individual
DR. LOUIS C IANNIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 RIVER RD, SUITE 202, SCHENECTADY, NY 12309-1135
(518) 346-9682
(518) 346-9693
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401166001
BSNENY
NY
05
—
01463441
—
NY
01
—
070126000024
FIDELIS
NY
01
—
08221
MVP
NY
01
—
10000940
CDPHP
NY
01
—
200125
SENIOR WHOLE HEALTH
NY
01
—
4320384
AETNA
NY
01
—
46546
GHI/HMO
NY
01
—
691811
EMPIRE BC
NY
Enumeration date
07/20/2006
Last updated
01/17/2018
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