| Dr Patsy M Iannolo, MD | |
|
5180 W Taft Rd, N Syracuse, NY 13212-2601 | |
| (315) 458-4622 | |
| (315) 458-9629 |
| Full Name | Dr Patsy M Iannolo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 5180 W Taft Rd, N Syracuse, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821138165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 155664 (New York) | Primary |
| 207P00000X | Emergency Medicine | 155664 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Auburn Community Hospital | Auburn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Auburn Community Hospital | 2365346525 | 60 |
| Auburn Memorial Medical Services Pc | 6406931385 | 108 |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
| Entity Name | Patsy M Iannolo Md, Phd, P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366582694 PECOS PAC ID: 4284690199 Enrollment ID: O20041202000579 |
| Entity Name | Auburn Memorial Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194913749 PECOS PAC ID: 6406931385 Enrollment ID: O20080318000053 |
| Entity Name | Port City Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | Eastern Finger Lakes Emergency Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134564164 PECOS PAC ID: 8123252996 Enrollment ID: O20131010000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patsy M Iannolo, MD Po Box 346, N Syracuse, NY 13212-0346 Ph: (315) 458-4622 | Dr Patsy M Iannolo, MD 5180 W Taft Rd, N Syracuse, NY 13212-2601 Ph: (315) 458-4622 |