Organization
CANNARIATO & DRIESCH FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE JEAN CANNARIATO MD (PRESIDENT)
(315) 536-0077
Entity
Organization
Contact information
Practice address
350 ELM ST, PENN YAN, NY 14527-1445
(315) 536-0077
(315) 536-4494
Mailing address
350 ELM ST, PENN YAN, NY 14527-1445
(315) 536-0077
(315) 536-4494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA0423
MEDICARE PTAN
NY
Enumeration date
10/04/2007
Last updated
10/04/2007
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