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NPI Code Detail

MEDICARE: BARRY ROSENBERG

MEDICARE: BARRY ROSENBERG
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
12085R0202XDiagnostic Radiology Physician215093NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00137247OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100026344402OTHERNYUNIVERA
2040608000051OTHERNYFIDELIS
3P010215093OTHERNYROCHESTER BLUE CHOICE
42150936BOTHERNYWORKERS COMPENSATION
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7103432FFOTHERNYPREFERRED CARE
8P020215093OTHERROCHESTER BLUE SHIELD
9000916872003OTHERBLUE SHIELD OF WESTERN NY
101691700OTHERNYINDEPENDENT HEALTH

General Provider Information

NPI Number : 1780653998
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY ROSENBERG
Provider Business Mailing Address
First Line : 127 NORTH ST
Second Line : SUITE 208
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-267-7510
Fax Number : 585-267-7511
Provider Business Practice Location Address
First Line : 127 NORTH ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-344-5225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/04/2016

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Directions to “ BARRY ROSENBERG ” Practice Location

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