Canavan, Thomas E

Canavan, Thomas E is an individual health care provider with primary practice located at 319 S Manning Blvd Suite 110, Albany NY 12208-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Canavan, Thomas E can be contacted via phone (518) 525-2542.

Contact Information

Primary practice address
319 S Manning Blvd Suite 110 Albany NY 12208-1742
Phone: (518) 525-2542
Fax: (518) 525-2522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 1530051 New York

Profile Details

NPI number 1609877422
LBN Legal business name Canavan, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 25th, 2011 - about 14 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 1609877422 NPPES
New York Other 780000701 RAILROAD MEDICARE
New York MEDICAID 00935924 RAILROAD MEDICARE

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