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Individual

CHRISTOPHER PAUL BARELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 731-9000
(518) 731-9119
Mailing address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 731-9000

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
207P00000X

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000414295001
BLUE SHIELD NENY
NY
01
10062169
CDPHP
NY
01
4937930001
MEDICARE DME
NY
01
857V5
BLUE CROSS NON MEDICARE
NY
01
WEL75
BLUE CROSS MEDICARE PATIE
NY
Enumeration date
09/12/2007
Last updated
01/23/2008
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