Cannizzaro, John P

Cannizzaro, John P is an individual health care provider with primary practice located at 6620 Fly Road Ste 200, East Syracuse NY 13057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Cannizzaro, John P can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
6620 Fly Road Ste 200 East Syracuse NY 13057
Phone: (315) 464-4472
Fax: (315) 464-5221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 194781 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 194781 New York

Profile Details

NPI number 1700881711
LBN Legal business name Cannizzaro, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700881711 NPPES
New York MEDICAID 01559273

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