Provider Demographics
NPI:1235100041
Name:ANAIN, JOSEPH M SR (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:ANAIN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2121 MAIN STREET
Mailing Address - Street 2:SUITE 316
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214
Mailing Address - Country:US
Mailing Address - Phone:716-837-2400
Mailing Address - Fax:716-837-3860
Practice Address - Street 1:2121 MAIN STREET
Practice Address - Street 2:SUITE 316
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-837-2400
Practice Address - Fax:716-837-3860
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0983792086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00686993Medicaid
NYB35626Medicare UPIN
NY00686993Medicaid