Individual
DR. BARRY JACOB KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 607-5880
(914) 848-8751
Mailing address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 607-5880
(914) 848-8751
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
044191
CT
2085R0204X
Vascular & Interventional Radiology Physician
Primary
187939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01692662
—
NY
Enumeration date
05/13/2006
Last updated
01/22/2016
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