Individual
CELESTINO PIETRANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
295 ESSJAY RD, BUFFALO MEDICAL GROUP, PC, WILLIAMSVILLE, NY 14221-8216
(716) 630-1146
(716) 817-1726
Mailing address
6255 SHERIDAN DR, SUITE 108 - CREDENTIALING DEPT, WILLIAMSVILLE, NY 14221-4836
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
223235
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026850801
UNIVERA
NY
01
—
000527694001
BLUE CROSS COMM BLUE
NY
05
—
2560901
—
NY
01
—
2812559
INDEP HEALTH
NY
Enumeration date
12/06/2005
Last updated
05/20/2016
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