Provider Demographics
NPI:1831158195
Name:ARONICA, MICHAEL JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:ARONICA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2128 ELMWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1910
Mailing Address - Country:US
Mailing Address - Phone:716-874-4500
Mailing Address - Fax:716-874-8145
Practice Address - Street 1:2128 ELMWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1910
Practice Address - Country:US
Practice Address - Phone:716-874-4500
Practice Address - Fax:716-874-8145
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1994941207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000524715003OtherCHILD HEALTH PLUS FAMILY
2599945OtherGROUP HEALTH INSURANCE
000524715003OtherBCBS WNY
00010302903OtherASO
000524715003OtherCOMMUNITY CARE
NY01465154Medicaid
160975538OtherMAGNA CARE
000524715003OtherTRADITIONAL SECURE BLUE
000524715003OtherCOMMUNITY BLUE STANDARD
000524715003OtherCB LABOR HEALTH
000524715003OtherSENIOR BLUE
040426001422OtherFIDELIS FAMILY HEALTH PLU
040426001422OtherFIDELIS
1994946OtherWORKERS COMP
000524715003OtherCB ADVANTAGE
040426001422OtherFIDELIS CHILD HEALTH PLUS
05169532OtherAETNA
160975538OtherNORTH AMERICAN PREFERRED
000524715003OtherCB LABOR HEALTH
2599945OtherGROUP HEALTH INSURANCE