Healthcare Provider Details

I. General information

NPI: 1205251428
Provider Name (Legal Business Name): MRS. MELISSA BARONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 YOUNG AVE
CROTON ON HUDSON NY
10520-3020
US

IV. Provider business mailing address

27 YOUNG AVE
CROTON ON HUDSON NY
10520-3020
US

V. Phone/Fax

Practice location:
  • Phone: 347-680-0133
  • Fax:
Mailing address:
  • Phone: 347-680-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: