Individual
THOMAS E CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 S MANNING BLVD, SUITE 110, ALBANY, NY 12208-1742
(518) 525-2542
(518) 525-2522
Mailing address
319 S MANNING BLVD, SUITE 110, ALBANY, NY 12208-1742
(518) 525-2542
(518) 525-2522
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1530051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00935924
—
NY
01
—
780000701
RAILROAD MEDICARE
NY
Enumeration date
08/02/2005
Last updated
05/25/2011
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