Individual provider · Type 1 NPI

Angela M. Pericozzi, MD

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1417217605 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2342

Call (315) 464-5420 Map

Fax (315) 464-7212

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417217605

Angela M. Pericozzi, MD's National Provider Identifier is 1417217605, issued on May 21, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on May 21, 2012.