Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Upstate Gastroenterology, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1366799033

Upstate Gastroenterology, LLC is an Ambulatory Surgical Clinic/Center in Syracuse, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 E Genesee St Ste 206
Syracuse, NY 13210-1892
Phone: (315) 464-1616
Fax: (315) 464-1617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 111362 (NY)

Record details

NPI number1366799033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Iannuzzi — Md · (315) 464-3835
NPI enumeratedAugust 13, 2012
Last updated in NPPESMarch 2, 2015
Mailing address1000 E Genesee St, Suite 206, Syracuse, NY 13210-1892

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