Upstate Gastroenterology, Llc

LBN: Upstate Gastroenterology, Llc
Upstate Gastroenterology, Llc is an health care organization with primary practice located at 1000 E Genesee St Suite 206, Syracuse NY 13210-1892. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Upstate Gastroenterology, Llc can be contacted via phone (315) 464-1616, or through Iannuzzi, Michael C. via phone (315) 464-3835.

Contact Information

Primary practice address
1000 E Genesee St Suite 206 Syracuse NY 13210-1892
Phone: (315) 464-1616
Fax: (315) 464-1617
Website:
Map and Directions
Authorized official contact:
Name: Iannuzzi, Michael C. Doctor of Medicine (MD)
Phone: (315) 464-3835

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 111362 New York

Profile Details

NPI number 1366799033
LBN Legal business name Upstate Gastroenterology, Llc
DBA Doing business as
Authorized official Iannuzzi, Michael C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2012
Last updated Mar 2nd, 2015 - about 9 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 1366799033 NPPES
New York MEDICAID 03747028

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