Ethy Canon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

423223 Issued in NY

Practice address

6910 11TH Ave
Brooklyn, NY 11228-1298

Phone

(718) 836-0012

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unique Perinatal Care PC

  • Specialist
  • Brooklyn, NY
  • NPI 1851725758
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1558139543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 148TH ST APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100392927",
            "telephone_number": "646-714-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281298",
            "telephone_number": "718-836-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANON",
        "first_name": "ETHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "423223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Rose Canny
• Sarah Canny
• Susan Canny, OTR/L
• Lissa J Cano-Jimenez
• Nathalia Cano, SERVICE COORDINATOR
• Canopy Dentistry - Downtown Brooklyn, PLLC (Canopy Dentistry)
• Suze Marie Cantave-Labissiere II, MS,COUNSELING
• Bianca Cantave
• Guerardine Cantave
• Mineive Cantave

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.