Individual
MICHAEL W BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2517 VESTAL PKWY E, VESTAL, NY 13850-2020
(607) 798-1452
(607) 798-1792
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
187196
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
187196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805054
—
NY
Enumeration date
02/10/2006
Last updated
05/02/2018
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