Kanaley, Justin C

Kanaley, Justin C is an individual health care provider with primary practice located at 3950 E Robinson Rd Suite 205, West Amherst NY 14228-2041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kanaley, Justin C can be contacted via phone (716) 691-3400.

Contact Information

Primary practice address
3950 E Robinson Rd Suite 205 West Amherst NY 14228-2041
Phone: (716) 691-3400
Fax: (716) 691-3404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 239741 New York

Profile Details

NPI number 1508802620
LBN Legal business name Kanaley, Justin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 14th, 2015 - about 9 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 1508802620 NPPES
Other 00027607702 UNIVERA
Other 000528574003 UNIVERA
MEDICAID 02776272 UNIVERA
Other 1213232 UNIVERA
Other 071206000057 UNIVERA

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