Active NPI
Cannariato & Driesch Family Medicine, PC
- Family Medicine Physician
- Penn Yan, NY
National Provider Identifier
1134317084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Catherine Jean Cannariato, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA0423 | Other | NY | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Ithaca, NY
- NPI 1205839933
-
- Family Medicine Physician
- Penn Yan, NY
- NPI 1508869199
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.