National Provider Identifier

Anthony T. Vetrano, M.D.

Anthony T. Vetrano, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Lackawanna, NY and a listed phone number of (716) 893-7337.

NPI 1982636650Lackawanna, NYPediatrics Physician

Profile Overview

NPI
1982636650
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
July 06, 2006
Last Updated
April 25, 2025

Practice Location

  • 790 Ridge RD Fl 1
  • Lackawanna, NY 14218-1629

Phone: (716) 893-7337

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1982636650
Entity Type
Individual
Last Name
Vetrano
First Name
Anthony
Middle Name
T.
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
790 Ridge RD Fl 1
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 893-7337
Mailing Fax
(716) 893-7699
Practice Street Address
790 Ridge RD Fl 1
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 893-7337
Practice Fax
(716) 893-7699
Enumeration Date
July 06, 2006
Last Updated
April 25, 2025
Sex
Male
Sole Proprietor
No
Certification Date
April 25, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
000510859007 (NY, Blue Cross), 050728000000 (NY, Fidelis), 01191877 (NY), 1207848 (NY, Independent Health), 00010199001 (NY, Univera), 119288DL (NY, Preferred Care)