Abby E Canzano, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005875-1 Issued in NY

Practice address

800 S Wilbur Ave
Syracuse, NY 13204-2732

Phone

(607) 756-5637

Fax

(607) 756-6388

NPI assigned

Mar 28, 2007

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912

  NY

  Medicare reassignment
• State of New York Comptrollers Office

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Cortland, NY
  • NPI 1356572739
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720107022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GARFIELD ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042732",
            "telephone_number": "607-756-5637",
            "fax_number": "607-756-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANZANO",
        "first_name": "ABBY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005875-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Canova
• Francine D Cantor, MD
• Richard M Cantor, MD
• Regina Canuso
• Gregory W Canute, MD
• Domenica Francesca Canzano, LMSW
• Jodie Lynn Canzano, MPT
• Jonathan Capelin, MD
• Lori L. Capels, PTA
• Sharon Renee Capers, LPN

• All providers in Syracuse, NY
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.