UPSTATE GASTROENTEROLOGY, LLC
Ambulatory Health at Genesee St, Syracuse, NY

License number
New York 111362
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MICHAEL C. IANNUZZI MD
Title: MD
Phone: (315) 464-3835
Address
Address
1000 E Genesee St SUITE 206, Syracuse, NY 13210
National Provider ID: 1366799033
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UPSTATE GASTROENTEROLOGY, LLC

1000 E Genesee St, Syracuse, NY 13210

Registration:
Aug 14, 2009
State ID:
3845382
Business type:
DOMESTIC LIMITED LIABILITY COMPANY

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