Individual
JUSTIN C KANALEY
Active
Individual
JUSTIN C KANALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
239741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027607702
UNIVERA
—
01
—
000528574003
BC/BS
—
05
—
02776272
—
NY
01
—
071206000057
FIDELIS
—
01
—
1213232
IHA
—
Enumeration date
06/20/2006
Last updated
06/30/2026
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