Gianna Of Syracuse Medical Pllc

LBN: Gianna Of Syracuse Medical Pllc
Gianna Of Syracuse Medical Pllc is an health care organization with primary practice located at 127 Chapel Dr. , Syracuse NY 13219-1919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gianna Of Syracuse Medical Pllc can be contacted via phone (585) 310-8787, or through Kristan, Angela via phone (405) 640-5576.

Contact Information

Primary practice address
127 Chapel Dr. Syracuse NY 13219-1919
Phone: (585) 310-8787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kristan, Angela Doctor of Medicine (MD)
Phone: (405) 640-5576

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1104451848
LBN Legal business name Gianna Of Syracuse Medical Pllc
DBA Doing business as
Authorized official Kristan, Angela Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104451848 NPPES
New York MEDICAID 05240455

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