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DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN NPI 1063468239


NPI Information

NPI: 1063468239
Provider Name: DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
750 E ADAMS ST
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-4505
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DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN is an internal medicine in Syracuse, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN NPI is 1063468239. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210-306
Phone: (315) 464-4505

The provider's authorized official is Michael C. Iannuzzi .
The authorized official title is President And Chairman and has the following contact phone number (315) 464-4505.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RG0300XInternal MedicineGeriatric MedicineNo
6207RH0003XInternal MedicineHematology & OncologyNo
7207RI0011XInternal MedicineInterventional CardiologyNo
8207RI0200XInternal MedicineInfectious DiseaseNo
9207RN0300XInternal MedicineNephrologyNo
10207RP1001XInternal MedicinePulmonary DiseaseNo
11207RR0500XInternal MedicineRheumatologyNo
12207RC0200XInternal MedicineCritical Care MedicineNo
13207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11207540011MEDICARE NSCNEW YORK
200459903MEDICAIDNEW YORK
335125AMEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.