Individual
DR. DOUGLAS H CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 MAIN ST, ONEONTA, NY 13820-2507
(607) 433-1792
(607) 433-6608
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 433-1790
(607) 499-6608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
176954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01162578
—
NY
Enumeration date
05/01/2006
Last updated
07/18/2013
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