Individual
DR. ANTHONY T. VETRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 RIDGE RD FL 1, LACKAWANNA, NY 14218-1629
(716) 893-7337
(716) 893-7699
Mailing address
790 RIDGE RD FL 1, LACKAWANNA, NY 14218-1629
(716) 893-7337
(716) 893-7699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
171758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010199001
UNIVERA
NY
01
—
000510859007
BLUE CROSS
NY
05
—
01191877
—
NY
01
—
050728000000
FIDELIS
NY
01
—
119288DL
PREFERRED CARE
NY
01
—
1207848
INDEPENDENT HEALTH
NY
Enumeration date
07/06/2006
Last updated
04/25/2025
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