| Brian G. Cannon, Md | |
|
2 Fon Clair Ter Johnstown NY 12095-3100 | |
| (518) 226-0267 | |
| (518) 587-0238 |
| Full Name | Brian G. Cannon, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Fon Clair Ter, Johnstown, New York |
| Authorized Official Name and Position | Brian G Cannon (PRESIDENT) |
| Authorized Official Contact | 5182260267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G. Cannon, Md 2 Fon Clair Ter Johnstown NY 12095-3100 Ph: (518) 226-0267 | Brian G. Cannon, Md 2 Fon Clair Ter Johnstown NY 12095-3100 Ph: (518) 226-0267 |
| NPI Number | 1851570741 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851570741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125142 (New York) | Primary |
St. Mary's Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 South Perry St, Johnstown, NY 12095 Phone: 518-762-3161 Fax: 518-762-4902 | |
Kathleen M. Catalano, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 S Perry St, Johnstown, NY 12095 Phone: 518-736-1374 Fax: 518-762-1133 |