Individual
DR. JOSE R CANARIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7150 MAIN ST, OVID, NY 14521-9401
(607) 403-0065
(607) 403-0093
Mailing address
PO BOX 423, PENN YAN, NY 14527-0423
(315) 531-9102
(315) 531-9103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02866879
—
NY
01
—
243042
LICENSE
NY
Enumeration date
04/12/2007
Last updated
04/04/2017
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