Provider Demographics
NPI:1215958830
Name:ANAIN, JOSEPH M JR (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:ANAIN
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2693
Mailing Address - Country:US
Mailing Address - Phone:716-838-2693
Mailing Address - Fax:716-838-2942
Practice Address - Street 1:2121 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2693
Practice Address - Country:US
Practice Address - Phone:716-838-2693
Practice Address - Fax:716-838-2942
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0047011213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP047010OtherWORKERS COMP
NY000511122005OtherBLUE CROSS
NY000511122009OtherBLUE CROSS DME
NY140319EQOtherPREFERRED CARE
NY00010251401OtherUNIVERA
NY01253438Medicaid
NY6200120OtherGHI
NY8908320OtherINDEPENDENT HEALTH
NY040426000677OtherFIDELIS
NY000511122009OtherBLUE CROSS DME
NYU18650Medicare UPIN
NY01253438Medicaid