Provider Demographics
NPI:1760492680
Name:BARATS, LEV L (MD)
Entity Type:Individual
Prefix:DR
First Name:LEV
Middle Name:L
Last Name:BARATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2442
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:14 VISTA BLVD
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-2184
Practice Address - Country:US
Practice Address - Phone:518-459-5273
Practice Address - Fax:518-489-5790
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY234093207R00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02620400Medicaid
NYRA7805Medicare PIN
NYRA4966Medicare PIN
NYG23495Medicare UPIN
NYRB6068Medicare PIN