MARIYA A CANHAM


Address: 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668
Phone: 5852752838

MARIYA A CANHAM (NPI# 1689159162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689159162
Entity Type Individual
Full Name MARIYA A CANHAM
Credential NP-BC
Practice Address 2400 S Clinton Ave, Building H, Suite 150
Rochester
NY 14618-2668
Mailing Address 601 Elmwood Avenue Box 656
Rochester
NY 14642-0001
Practice Telephone 5852752838
Mailing Telephone 5857564011
Enumeration Date 2018-10-01
Last Update Date 2018-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
308732-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2400 S CLINTON AVE, BUILDING H, SUITE 150
City ROCHESTER
State NY
Zip Code 14618-2668

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043829047 Ruhi Bedi Sondhi Nurse Practitioner 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 2020-07-26
1346865920 Christopher M Mccarty Nurse Practitioner 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 2020-06-10
1811510555 Stacey Sang Nurse Practitioner 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 2020-05-27
1093365280 Brittany Lewis Nurse Practitioner 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 2019-09-19
1245891431 Julie Loce Nurse Practitioner 222 Alexander St Ste 2400, Rochester, NY 14607-4010 2019-06-27
1467013433 Henry Robert Newcomb Nurse Practitioner 300 Crittendon Blvd, Rochester, NY 14642-0001 2019-06-21
1013447747 Lauren Beth Bartus Nurse Practitioner 601 Elmwood Ave # 619, Rochester, NY 14642-0001 2017-06-15
1730634502 Susan Lee Riggan Nurse Practitioner 408 Meadow Brook Rd, Rochester, MI 48309-4452 2016-08-22
1093197857 Katelynn Ann Coffey Nurse Practitioner 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 2015-06-29
1568878635 Lisa Marie Dalton Nurse Practitioner 435 E. Henrietta Rd., Rochester, NY 14620 2014-07-09
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Competitor

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City ROCHESTER
Zip Code 14618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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