Provider Demographics
NPI:1346286614
Name:CIAVARRI, NANCY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:CIAVARRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:NORTH CHILI
Mailing Address - State:NY
Mailing Address - Zip Code:14514-0505
Mailing Address - Country:US
Mailing Address - Phone:585-594-5995
Mailing Address - Fax:585-594-5424
Practice Address - Street 1:4201 BUFFALO ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTH CHILI
Practice Address - State:NY
Practice Address - Zip Code:14514-1256
Practice Address - Country:US
Practice Address - Phone:585-594-5995
Practice Address - Fax:585-594-5995
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219913-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY106232BFOtherPREFERRED CARE
NYCFP-219913-1WOtherWORKERS' COMPENSATION
NY010219913OtherEXCELLUS
NY0790899OtherINDEPENDENT HEALTH
NY2593509OtherAETNA HMO
NY005263401OtherHEALTHNOW BCBSWNY
NY040426004324OtherFIDELIS
NY7211246OtherAETNA PPO/POS
NY02273229Medicaid