MEDICARE: HOWARD JOSEPH BARON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X004200	NY

General Provider Information

NPI Number	:	1457959223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD JOSEPH BARON DC

Provider Business Mailing Address
First Line	:	360 SHORE RD APT 6B
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4374
Country	:	US
Telephone Number	:	516-330-1628
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 SHORE RD APT 6B
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4374
Country	:	US
Telephone Number	:	516-330-1628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	10/14/2020

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