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1609824036 NPI number — JOHN M CANTY JR. MD

NPI Number: 1609824036
Health Care Provider/Practitioner: JOHN M CANTY JR. MD

Information about “1609824036” NPI (JOHN M CANTY JR. MD) exists in 1609824036 in HTML format HTML  |  1609824036 in plain Text format TXT  |  1609824036 in PDF (Portable Document Format) PDF  |  1609824036 in an XML format XML  formats.

NPI Number : 1609824036 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609824036",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CANTY",
    "FirstName": "JOHN",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "SUNY AT BUFFALO",
    "SecondLineMailingAddress": "MEDICAL AND RESEARCH BLDG ROOM 345",
    "MailingAddressCityName": "BUFFALO",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14214-3001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-829-2684",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3980 SHERIDAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMHERST",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14226-1727",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-882-6544",
    "PracticeLocationAddressFaxNumber": "716-882-6833",
    "EnumerationDate": "05/05/2006",
    "LastUpdateDate": "11/18/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RC0000X",
        "TaxonomyName": "Cardiovascular Disease Physician",
        "LicenseNumber": "146559",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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