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Individual

BRENDA B BARATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2021 WINTON RD S, ROCHESTER, NY 14618-3957
(585) 784-6400
(585) 341-2370
Mailing address
2021 WINTON RD S, ROCHESTER, NY 14618-3957
(585) 784-6400
(585) 341-2370

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179630
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027338101
UNIVERA
NY
05
00355266
NY
01
051006000000
FIDELIS
NY
01
106276BJ
PREFERRED CARE
NY
01
110242023
MEDICARE RAILROAD
NY
01
11121547
CAQH
NY
01
P010179630
BCBS
NY
Enumeration date
05/03/2006
Last updated
09/12/2016
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