Individual
DR. ILYA IVYANSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF MEDICINE, MEDICAL SERVICE GROUP, 1000 E GENESEE ST., SUITE 403, SYRACUSE, NY 13210
(315) 464-2929
(315) 464-2930
Mailing address
DEPARTMENT OF MEDICINE, MEDICAL SERVICE GROUP, 1000 E GENESEE ST., SUITE 403, SYRACUSE, NY 13210
(315) 464-2929
(315) 464-2930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
343792
NY
207R00000X
Internal Medicine Physician
C1-0024456
DE
207RR0500X
Rheumatology Physician
Primary
343792
NY
208M00000X
Hospitalist Physician
C1-0024456
DE
Other
Enumeration date
04/15/2018
Last updated
06/26/2026
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