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NPI Code Detail

MEDICARE: DR. NANCY ANN CIAVARRI M.D.

MEDICARE: DR. NANCY ANN CIAVARRI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician219913-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1106232BFOTHERNYPREFERRED CARE
2CFP-219913-1WOTHERNYWORKERS' COMPENSATION
3010219913OTHERNYEXCELLUS
40790899OTHERNYINDEPENDENT HEALTH
52593509OTHERNYAETNA HMO
6005263401OTHERNYHEALTHNOW BCBSWNY
7040426004324OTHERNYFIDELIS
87211246OTHERNYAETNA PPO/POS
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346286614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY ANN CIAVARRI M.D.
Provider Business Mailing Address
First Line : PO BOX 505
Second Line :
City : NORTH CHILI
State : NY
Zip : 14514-0505
Country : US
Telephone Number : 585-594-5995
Fax Number : 585-594-5424
Provider Business Practice Location Address
First Line : 4201 BUFFALO ROAD
Second Line : SUITE 1
City : NORTH CHILI
State : NY
Zip : 14514-1256
Country : US
Telephone Number : 585-594-5995
Fax Number : 585-594-5995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 09/27/2022

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