MEDICARE: ANTHONY V BARATTA JR. M.D.

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	207RG0100X	Gastroenterology Physician	1813341	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P010181334	OTHER	NY	BCHOICE
2	02214	OTHER	NY	BCBSH
3	0005100246	OTHER	NY	AETNA PIN
4	101319BT	OTHER	NY	PREFERRED CARE
5	161420119	OTHER	NY	UNITED HEALTHCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	161420119	OTHER	NY	AETNA

General Provider Information

NPI Number	:	1689631319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY V BARATTA JR. M.D.

Provider Business Mailing Address
First Line	:	2440 RIDGEWAY AVENUE
Second Line	:	SUITE 100
City	:	ROCHESTER
State	:	NY
Zip	:	14626-4145
Country	:	US
Telephone Number	:	585-720-1550
Fax Number	:	585-720-1553

Provider Business Practice Location Address
First Line	:	2440 RIDGEWAY AVENUE
Second Line	:	SUITE 100
City	:	ROCHESTER
State	:	NY
Zip	:	14626-4145
Country	:	US
Telephone Number	:	585-720-1550
Fax Number	:	585-720-1553

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	11/23/2020

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