Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In

Organization Dermatology Physician · NPI 1063468239

Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In is a Dermatology Physician in Syracuse, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
13
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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-4505
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Hematology & Oncology Physician Taxonomy 207RH0003X
Interventional Cardiology Physician Taxonomy 207RI0011X
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X

Record details

NPI number1063468239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Iannuzzi — President And Chairman · (315) 464-4505
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 5, 2015
Mailing address750 E Adams St, Syracuse, NY 13210-2306

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