Individual
DR. ROSS LOUIS FANARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4110 W MAIN ST, BATAVIA, NY 14020-1260
(484) 343-8638
(585) 344-0746
Mailing address
4110 W MAIN ST, PO BOX 422, BATAVIA, NY 14021-0422
(585) 343-8638
(585) 344-0746
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0022061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020070501
UNIVERA
—
01
—
0055072
GHI
—
01
—
100078EQ
PREF CARE
—
01
—
5508130
FIRST HEALTH
—
01
—
8042
ROCHESTER
—
Enumeration date
09/02/2005
Last updated
07/08/2007
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