Provider Demographics
NPI:1992769236
Name:BARATTA, RONALD RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:RICHARD
Last Name:BARATTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:672 N WELLWOOD AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-1677
Mailing Address - Country:US
Mailing Address - Phone:631-957-2200
Mailing Address - Fax:631-957-4619
Practice Address - Street 1:672 N WELLWOOD AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-1677
Practice Address - Country:US
Practice Address - Phone:631-957-2200
Practice Address - Fax:631-957-4619
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY93113173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine