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Individual

BARRY ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 344-5225
Mailing address
127 NORTH ST, SUITE 208, BATAVIA, NY 14020-1631
(585) 267-7510
(585) 267-7511

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
215093
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026344402
UNIVERA
NY
01
000916872003
BLUE SHIELD OF WESTERN NY
05
02000264
NY
01
040608000051
FIDELIS
NY
01
103432FF
PREFERRED CARE
NY
01
1691700
INDEPENDENT HEALTH
NY
01
2150936B
WORKERS COMPENSATION
NY
01
P00137247
RAILROAD MEDICARE
01
P010215093
ROCHESTER BLUE CHOICE
NY
01
P020215093
ROCHESTER BLUE SHIELD
Enumeration date
03/17/2006
Last updated
10/04/2016
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