Organization Name: | DEPARTMENT OF MEDICINE MSG |
NPI Number: | 1174543979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL C. IANNUZZI (PRESIDENT) |
Mailing Address: | 140 W 6th St Suite 110 Oswego |
State: | NY US |
Postal Code: | 131262525 |
Phone Number: | 3153426215 |
Fax Number: | 3153426219 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |