Provider Demographics
NPI:1396989778
Name:BARBATO, SCOTT M (LPN)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:M
Last Name:BARBATO
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4778 S MANNING RD
Mailing Address - Street 2:
Mailing Address - City:HOLLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14470-9053
Mailing Address - Country:US
Mailing Address - Phone:585-738-2168
Mailing Address - Fax:
Practice Address - Street 1:4778 S MANNING RD
Practice Address - Street 2:
Practice Address - City:HOLLEY
Practice Address - State:NY
Practice Address - Zip Code:14470-9053
Practice Address - Country:US
Practice Address - Phone:585-738-2168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296839164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse