Provider Demographics
NPI:1306878038
Name:BARNEY, DANIEL P (RPA-C)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:BARNEY
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 656
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-424-6490
Mailing Address - Fax:585-424-1338
Practice Address - Street 1:400 WHITE SPRUCE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-424-6490
Practice Address - Fax:585-424-1338
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY8132363AS0400X
NY008132363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02507528Medicaid
NY000918895001OtherHEALTHNOW
NYP019008132OtherEXCELLUS
NY117361FLOtherPREFERRED CARE
CC6771Medicare ID - Type Unspecified
NY02507528Medicaid