MEDICARE: JOEL PATRICK DELANEY RPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	006824	NY
2	363A00000X	Physician Assistant	006824	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	349936	OTHER		MVP HEALTHCARE

General Provider Information

NPI Number	:	1194728436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL PATRICK DELANEY RPA

Provider Business Mailing Address
First Line	:	8100 OSWEGO ROAD
Second Line	:	SUITE 220
City	:	LIVERPOOL
State	:	NY
Zip	:	13090
Country	:	US
Telephone Number	:	315-652-6551
Fax Number	:	315-652-9698

Provider Business Practice Location Address
First Line	:	8280 WILLETT PARKWAY
Second Line	:	SUITE 200
City	:	BALDWINSVILLE
State	:	NY
Zip	:	13027
Country	:	US
Telephone Number	:	315-671-3440
Fax Number	:	315-671-3449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/11/2025

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