Kanner, Barry Jacob

Kanner, Barry Jacob is an individual health care provider with primary practice located at 3030 Westchester Ave , Purchase NY 10577-2574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kanner, Barry Jacob can be contacted via phone (914) 607-5880.

Contact Information

Primary practice address
3030 Westchester Ave Purchase NY 10577-2574
Phone: (914) 607-5880
Fax: (914) 848-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 187939 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 044191 Connecticut

Profile Details

NPI number 1649221789
LBN Legal business name Kanner, Barry Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 22nd, 2016 - about 8 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 1649221789 NPPES
New York MEDICAID 01692662

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