Provider Demographics
NPI:1134114051
Name:RICOTTONE, ANTHONY R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:R
Last Name:RICOTTONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3085 HARLEM RD
Mailing Address - Street 2:STE 350
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2591
Mailing Address - Country:US
Mailing Address - Phone:716-844-5600
Mailing Address - Fax:716-844-5750
Practice Address - Street 1:500 STERLING DR
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1573
Practice Address - Country:US
Practice Address - Phone:716-677-2273
Practice Address - Fax:716-677-2477
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2019-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1996071208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01732609Medicaid
NY161511795OtherNOVA
NY161511795OtherNORTH AMERICAN
NY1908978OtherINDEPENDENT HEALTH
NY00010298601OtherUNIVERA
NY161511795OtherHUMANA
NY340015685OtherRAILROAD MEDICARE
NY005246462OtherCOMMUNITY BLUE
NY2002OtherBLUE CROSS ROCHESTER
NYMDE166OtherPREFERRED CARE
NY161511795OtherUNITED HEALTHCARE EMPIRE
NYP010199607OtherBLUE CHOICE
NY161511795OtherUNITED HEALTHCARE EMPIRE
NY161511795OtherHUMANA