Healthcare Provider Details

I. General information

NPI: 1699701425
Provider Name (Legal Business Name): STEPHEN R BARONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST BOX 124
NEW YORK NY
10021-4870
US

IV. Provider business mailing address

525 E 68TH ST BOX 124
NEW YORK NY
10021-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2846
  • Fax: 212-746-8108
Mailing address:
  • Phone: 212-746-2846
  • Fax: 212-746-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number227843
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: