Individual
PAT BARANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 E MAIN ST, SPRINGVILLE, NY 14141-1443
(716) 592-9661
Mailing address
PO BOX 281562, ATLANTA, GA 30384-1562
(904) 482-1070
(904) 482-1077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138406-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000523624004
BLUE SHIELD OF NY
NY
05
—
00544954
—
NY
01
—
110219483
RAILROAD MEDICARE
NY
Enumeration date
07/11/2006
Last updated
07/09/2007
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