Basic Information
| Provider Information | |||||||||
| NPI: | 1831158195 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARONICA | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2128 ELMWOOD AVENUE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142071910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168744500 | ||||||||
| FaxNumber: | 7168748145 | ||||||||
| Practice Location | |||||||||
| Address1: | 2128 ELMWOOD AVENUE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142071910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168744500 | ||||||||
| FaxNumber: | 7168748145 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2006 | ||||||||
| LastUpdateDate: | 01/21/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 1994941 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 1994941 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 000524715003 | 01 | CHILD HEALTH PLUS FAMILY | OTHER | 2599945 | 01 | GROUP HEALTH INSURANCE | OTHER | 000524715003 | 01 | BCBS WNY | OTHER | 00010302903 | 01 | ASO | OTHER | 000524715003 | 01 | COMMUNITY CARE | OTHER | 01465154 | 05 | NY | MEDICAID | 160975538 | 01 | MAGNA CARE | OTHER | 000524715003 | 01 | TRADITIONAL SECURE BLUE | OTHER | 000524715003 | 01 | COMMUNITY BLUE STANDARD | OTHER | 000524715003 | 01 | CB LABOR HEALTH | OTHER | 000524715003 | 01 | SENIOR BLUE | OTHER | 040426001422 | 01 | FIDELIS FAMILY HEALTH PLU | OTHER | 040426001422 | 01 | FIDELIS | OTHER | 1994946 | 01 | WORKERS COMP | OTHER | 000524715003 | 01 | CB ADVANTAGE | OTHER | 040426001422 | 01 | FIDELIS CHILD HEALTH PLUS | OTHER | 05169532 | 01 | AETNA | OTHER | 160975538 | 01 | NORTH AMERICAN PREFERRED | OTHER |