National Provider Identifier

Jose R Canario Jr., MD

Jose R Canario Jr., MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ovid, NY and a listed phone number of (607) 403-0065.

NPI 1356565519Ovid, NYFamily Medicine Physician

Profile Overview

NPI
1356565519
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 12, 2007
Last Updated
April 04, 2017

Practice Location

  • 7150 Main St
  • Ovid, NY 14521-9401

Phone: (607) 403-0065

Mailing Address

  • PO Box 423
  • Penn Yan, NY 14527-0423

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1356565519
Entity Type
Individual
Last Name
Canario
First Name
Jose
Middle Name
R
Name Prefix
Dr.
Name Suffix
Jr.
Credential
MD
Mailing Street Address
PO Box 423
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-0423
Mailing Country
US
Mailing Phone
(315) 531-9102
Mailing Fax
(315) 531-9103
Practice Street Address
7150 Main St
Practice City
Ovid
Practice State
NY
Practice ZIP Code
14521-9401
Practice Country
US
Practice Phone
(607) 403-0065
Practice Fax
(607) 403-0093
Enumeration Date
April 12, 2007
Last Updated
April 04, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
02866879 (NY), 243042 (NY, License)