National Provider Identifier
Ross Louis Fanara, DPM
Ross Louis Fanara, DPM is listed in the NPPES registry with a primary specialty of Podiatrist in Batavia, NY and a listed phone number of (484) 343-8638.
Profile Overview
- NPI
- 1467446641
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- September 02, 2005
- Last Updated
- July 08, 2007
Practice Location
- 4110 W Main St
- Batavia, NY 14020-1260
Phone: (484) 343-8638
Mailing Address
- 4110 W Main St
- PO Box 422
- Batavia, NY 14021-0422
Specialties
- Podiatrist (213E00000X)
Full Record
- NPI
- 1467446641
- Entity Type
- Individual
- Last Name
- Fanara
- First Name
- Ross
- Middle Name
- Louis
- Name Prefix
- Dr.
- Credential
- DPM
- Mailing Street Address
- 4110 W Main St
- Mailing Address Line 2
- PO Box 422
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14021-0422
- Mailing Country
- US
- Mailing Phone
- (585) 343-8638
- Mailing Fax
- (585) 344-0746
- Practice Street Address
- 4110 W Main St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1260
- Practice Country
- US
- Practice Phone
- (484) 343-8638
- Practice Fax
- (585) 344-0746
- Enumeration Date
- September 02, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X)
- Other Identifiers
- 100078EQ (Pref Care), 8042 (Rochester), 00020070501 (Univera), 0055072 (Ghi), 5508130 (First Health)