Iannettoni, Dolores

Iannettoni, Dolores is an individual health care provider with primary practice located at 5008 Brittonfield Pkwy Suite 700, East Syracuse NY 13057-9248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Iannettoni, Dolores can be contacted via phone (315) 472-7504.

Contact Information

Primary practice address
5008 Brittonfield Pkwy Suite 700 East Syracuse NY 13057-9248
Phone: (315) 472-7504
Fax: (315) 479-8639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F302021-1 New York

Profile Details

NPI number 1770562167
LBN Legal business name Iannettoni, Dolores
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated May 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770562167 NPPES
New York MEDICAID 02364932

Popular Providers