DEPARTMENT OF MEDICINE MSG NPI 1205856093

NPI Information

NPI: 1205856093
Provider Name: DEPARTMENT OF MEDICINE MSG

Doing Business As: MANLIUS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
102 W SENECA ST
MANLIUS, NY
ZIP 13104
Phone: (315) 464-9335
Get Directions

DEPARTMENT OF MEDICINE MSG is a cardiovascular disease internal medicine in Manlius, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DEPARTMENT OF MEDICINE MSG NPI is 1205856093. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Manlius.

The provider's business location address is:

102 W SENECA ST
MANLIUS, NY
ZIP 13104-480
Phone: (315) 464-9335
Fax: (315) 464-9338

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

The enumeration date for this NPI number is 7/21/2006 and was last updated on 10/13/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00459903	MEDICAID	NEW YORK
2	35125A	MEDICARE PIN	NEW 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: 5/5/2024

NPI Synchronization or Removal

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