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Individual

DR. JOSEPH R CANZONERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2 STATE ST, BATAVIA, NY 14020-2132
(585) 343-8150
(585) 343-1768
Mailing address
2 STATE ST, BATAVIA, NY 14020-2132
(585) 343-8150
(585) 343-1768

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0004862
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010250902
UNIVERA
NY
01
000511401006
BCBS OF WNY
NY
01
101977EQ
PREFERRED CARE
NY
01
20-3146947
TAX ID #
NY
01
480011943
RAILROAD MEDICARE
NY
01
5507080001
DMERC REGION A
NY
01
8990359
INDEPENDENT HEALTH
NY
01
P010004862
BLUE CHOICE
NY
01
P020004862
BCBS OF ROCHESTER
NY
Enumeration date
03/09/2006
Last updated
07/08/2007
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