Individual
MR. JOHN AVANZATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 E GENESEE ST, STE 101, AUBURN, NY 13021-4112
(315) 567-0490
Mailing address
AMMS, PC, 17 LANSING STREET, AUBURN, NY 13021-1983
(315) 567-0455
(315) 255-7099
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
176705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256028
—
NY
Enumeration date
07/18/2006
Last updated
02/02/2017
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