Organization Active NPI

Cannariato & Driesch Family Medicine, PC

  • Family Medicine Physician
  • Penn Yan, NY
National Provider Identifier
1134317084
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CANNARIATO & DRIESCH FAMILY MEDICINE, PC
Practice address
350 Elm St
Penn Yan, NY 14527-1445
Phone
(315) 536-0077
Fax
(315) 536-4494
NPI assigned
Oct 4, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Catherine Jean Cannariato, MDNPI 1205839933
Title
President
Phone
(315) 536-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

350 Elm St
Penn Yan, NY 14527-1445

Mailing address

350 Elm St
Penn Yan, NY 14527-1445
Phone (315) 536-0077

Other identifiers 1

IdentifierTypeStateIssuer
AA0423OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

350 Elm St
Penn Yan, NY 14527
Phone (315) 536-0077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1134317084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ELM ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271445",
            "telephone_number": "315-536-0077",
            "fax_number": "315-536-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ELM ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271445",
            "telephone_number": "315-536-0077",
            "fax_number": "315-536-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNARIATO & DRIESCH FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CANNARIATO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-536-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA0423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.