Individual
MRS. GEORGINA ANN BARATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4640 THERESA LN, NIAGARA FALLS, NY 14305-3604
(716) 523-6776
Mailing address
4640 THERESA LN, NIAGARA FALLS, NY 14305-3604
(716) 523-6776
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30-305089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03179980
—
NY
01
—
J40079014
MEDICARE
NY
Enumeration date
02/17/2009
Last updated
04/11/2017
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