| Suzanne M Lamanna Do Pllc | |
|
792 N Main St Suite 100b N Syracuse NY 13212-1644 | |
| (315) 458-4623 | |
| (315) 458-4652 |
| Full Name | Suzanne M Lamanna Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 792 N Main St, N Syracuse, New York |
| Authorized Official Name and Position | Suzanne Marie Lamanna (OWNER) |
| Authorized Official Contact | 3154584623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne M Lamanna Do Pllc 792 N Main St Suite 100b North Syracuse NY 13212-1644 Ph: (315) 458-4623 | Suzanne M Lamanna Do Pllc 792 N Main St Suite 100b N Syracuse NY 13212-1644 Ph: (315) 458-4623 |
| NPI Number | 1780873406 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780873406 | NPI | - | NPPES |
| 01682306 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202002-1 (New York) | Primary |
Patsy M Iannolo Md, Phd, P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5180 W Taft Rd, N Syracuse, NY 13212 Phone: 315-458-4622 Fax: 315-458-9629 |