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Contact Information

ROBERT J BARANOWSKI, MD
3400 NESCONSET HWY
SUITE 101
EAST SETAUKET, NY11733-3327
 Phone: 631-751-8700
 Fax: 631-751-5971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for ROBERT J BARANOWSKI · (Male)

NPI # 1205892205
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2006
Last updated 09/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 215574
  • NY Medicaid 02112274
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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