National Provider Identifier
Anthony Angelo Racaniello, MD
Anthony Angelo Racaniello, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Derby, NY and a listed phone number of (716) 947-2097.
Profile Overview
- NPI
- 1497701478
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- May 25, 2006
- Last Updated
- March 02, 2017
Practice Location
- 6722 Erie RD
- Derby, NY 14047-9670
Phone: (716) 947-2097
Mailing Address
- 5130 E Main Street RD
- PO Box 803
- Batavia, NY 14020-3496
Specialties
- Psychiatry Physician (2084P0800X)
- Addiction Psychiatry Physician (2084P0802X)
- Geriatric Psychiatry Physician (2084P0805X)
Full Record
- NPI
- 1497701478
- Entity Type
- Individual
- Last Name
- Racaniello
- First Name
- Anthony
- Middle Name
- Angelo
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 5130 E Main Street RD
- Mailing Address Line 2
- PO Box 803
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-3496
- Mailing Country
- US
- Mailing Phone
- (716) 947-2097
- Mailing Fax
- (716) 947-5909
- Practice Street Address
- 6722 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9670
- Practice Country
- US
- Practice Phone
- (716) 947-2097
- Practice Fax
- (716) 947-5909
- Enumeration Date
- May 25, 2006
- Last Updated
- March 02, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Addiction Psychiatry Physician (2084P0802X), Geriatric Psychiatry Physician (2084P0805X)
- Other Identifiers
- 01629212 (NY)