Organization
BRIAN G. CANNON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G CANNON MD (PRESIDENT)
(518) 226-0267
Entity
Organization
Contact information
Practice address
2 FON CLAIR TER, JOHNSTOWN, NY 12095-3100
(518) 226-0267
(518) 587-0238
Mailing address
2 FON CLAIR TER, JOHNSTOWN, NY 12095-3100
(518) 226-0267
(518) 587-0238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125142
NY
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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