Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 260540-1 | NY |
NPI | 1053400739 |
---|---|
Provider Name | Dr. Marcy Lynn Canary |
First Address | Cooperstown, NY 13326-1301 |
Second Address | Cooperstown, NY 13326-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 12/01/2012 |