Individual
JAMES WILLIAM CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Mailing address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
126376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010025104
UNIVERA
NY
01
—
000500325008
BC/BS
NY
05
—
00602828
—
NY
01
—
040426001488
FIDELIS
NY
01
—
1208948
IHA
NY
01
—
146916DL
PREFERRED CARE
NY
Enumeration date
09/23/2005
Last updated
09/02/2011
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