Individual
ADRIAN BARANETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-9008
(718) 780-5870
Mailing address
303 FOREST DR S, SHORT HILLS, NJ 07078-2310
(973) 376-2212
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
162375
NY
2085R0202X
Diagnostic Radiology Physician
25MA04159200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196670
—
NY
05
—
1657402
—
NJ
01
—
294186
AMERIGROUP
NJ
01
—
4106489
GHI
NJ
01
—
60016051
HORIZON NJ HEALTH
NJ
Enumeration date
09/20/2006
Last updated
06/09/2021
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