| Patsy M Iannolo Md, Phd, P C | |
| 
					5180 W Taft Rd N Syracuse NY 13212-2601  | |
| (315) 458-4622 | |
| (315) 458-9629 | 
| Full Name | Patsy M Iannolo Md, Phd, P C | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 5180 W Taft Rd, N Syracuse, New York | 
| Authorized Official Name and Position | Patsy M Iannolo (PRESIDENT) | 
| Authorized Official Contact | 3154524622 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patsy M Iannolo Md, Phd, P C 5180 W Taft Rd P O Box 346 N Syracuse NY 13212-2601 Ph: (315) 458-4622  | Patsy M Iannolo Md, Phd, P C 5180 W Taft Rd N Syracuse NY 13212-2601 Ph: (315) 458-4622  | 
| NPI Number | 1366582694 | 
|---|---|
| Provider Enumeration Date | 02/07/2007 | 
| Last Update Date | 12/13/2012 | 
| Medicare PECOS PAC ID | 4284690199 | 
|---|---|
| Medicare Enrollment ID | O20041202000579 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366582694 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Patsy M Iannolo | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1821138165 PECOS PAC ID: 7810953726 Enrollment ID: I20081216000444  | 
| Provider Name | Tina L Finlayson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497072136 PECOS PAC ID: 2365631132 Enrollment ID: I20110110000241  | 
Suzanne M Lamanna Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Suite 100b, N Syracuse, NY 13212 Phone: 315-458-4623 Fax: 315-458-4652  |