Provider Demographics
NPI:1871770925
Name:LEV L BARATS MD PLLC
Entity type:Organization
Organization Name:LEV L BARATS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEV
Authorized Official - Middle Name:
Authorized Official - Last Name:BARATS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-322-6490
Mailing Address - Street 1:20 WHITESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9325
Mailing Address - Country:US
Mailing Address - Phone:518-322-6490
Mailing Address - Fax:
Practice Address - Street 1:20 WHITESTONE WAY
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9325
Practice Address - Country:US
Practice Address - Phone:518-322-6490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234093133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0634Medicare PIN
NYG23495Medicare UPIN