Cannata, Rosa

Cannata, Rosa is an individual health care provider with primary practice located at 5898 Bridge St , East Syracuse NY 13057. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Cannata, Rosa can be contacted via phone (315) 663-0112.

Contact Information

Primary practice address
5898 Bridge St East Syracuse NY 13057
Phone: (315) 663-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 009113 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009113 New York

Profile Details

NPI number 1770588758
LBN Legal business name Cannata, Rosa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 15th, 2020 - about 4 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 1770588758 NPPES
New York Other 009113 LICENSE
New York MEDICAID 02625978 LICENSE

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