Individual
DR. CATHERINE CANARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7B JOHNSON RD, LATHAM, NY 12110-3003
(518) 782-7733
(518) 782-0800
Mailing address
7B JOHNSON RD, LATHAM, NY 12110-3003
(518) 782-7733
(518) 782-0800
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
174321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01607432
—
NY
01
—
091112000034
FIDELIS
NY
01
—
143311
GHI/HMO
NY
01
—
5125M1
EMPIRE BC
NY
01
—
7425867
AETNA
NY
01
—
9042527
MVP HEALTHCARE
NY
01
—
PRC200204488
CDPHP
NY
Enumeration date
03/15/2006
Last updated
05/26/2010
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