Canavan, Erik M

Canavan, Erik M is an individual health care provider with primary practice located at 8390 Oswego Road , Liverpool NY 13090-1002. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Canavan, Erik M can be contacted via phone (315) 652-4323.

Contact Information

Primary practice address
8390 Oswego Road Liverpool NY 13090-1002
Phone: (315) 652-4323
Fax: (315) 622-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0172401 New York

Profile Details

NPI number 1356303077
LBN Legal business name Canavan, Erik M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356303077 NPPES
New York MEDICAID 02102770

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