Provider Demographics
NPI:1477582286
Name:NORANTE, JOHN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:NORANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 629
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-758-5700
Mailing Address - Fax:585-758-1293
Practice Address - Street 1:2365 CLINTON AVE S
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2645
Practice Address - Country:US
Practice Address - Phone:585-758-5700
Practice Address - Fax:585-758-1293
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2011-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY103492207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000523896002OtherCOMMUNITY BLUE
NY0600795OtherGHI
NYG0182467590OtherBLUE CHOICE
NYMDH272OtherPREFERRED CARE
NY4519952OtherAETNA
NY00450748Medicaid
NYP010103492OtherBLUE SHIELD
NY040017651OtherRAIL ROAD MEDICARE
NYB72075Medicare UPIN
NY00450748Medicaid