Organization
GERIATRIC & PALLIATIVE SPECIALIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENANTE IGNACIO M.D. (OWNER/PHYSICIAN)
(315) 216-4641
Entity
Organization
Contact information
Practice address
101 W UTICA ST, SUITE C, OSWEGO, NY 13126-3165
(315) 216-6865
(315) 216-6867
Mailing address
101 W UTICA ST, SUITE C, OSWEGO, NY 13126-3165
(315) 216-6865
(315) 216-6867
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
246837
NY
Other
Enumeration date
09/12/2013
Last updated
03/02/2015
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