Healthcare Provider Details

I. General information

NPI: 1538189352
Provider Name (Legal Business Name): PATRICIA MARIA BARAN MS-CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. PATRICIA MARIA KOPYLCZAK

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 VINE SREET
LIVERPOOL NY
13088
US

IV. Provider business mailing address

2870 COUNTY ROUTE 91
JAMESVILLE NY
13078-9651
US

V. Phone/Fax

Practice location:
  • Phone: 315-451-7221
  • Fax: 315-457-1223
Mailing address:
  • Phone: 315-677-3899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number001475
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000004107
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: