NPIMap

Organization Active NPI

Eastern Finger Lakes Emergency Medical Care, PLLC

  • Emergency Medicine Physician
  • Auburn, NY
National Provider Identifier
1134564164
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
155664 Issued in NY
Legal business name
EASTERN FINGER LAKES EMERGENCY MEDICAL CARE, PLLC
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 458-9525
Fax
(315) 458-9629
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patst Iannolo, MD
Title
Physician
Phone
(315) 458-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 155664 NY Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

PO Box 200
New York Mills, NY 13417-0200
Phone (315) 458-9525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1134564164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134170200",
            "telephone_number": "315-458-9525",
            "fax_number": "315-458-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-458-9525",
            "fax_number": "315-458-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN FINGER LAKES EMERGENCY MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "IANNOLO",
        "authorized_official_first_name": "PATST",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-458-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "155664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.