Healthcare Provider Details

I. General information

NPI: 1447407036
Provider Name (Legal Business Name): STEVEN M BARONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 05/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 YOUNGS RD STE 202
WILLIAMSVILLE NY
14221-8053
US

IV. Provider business mailing address

1150 YOUNGS RD STE 202
WILLIAMSVILLE NY
14221-8024
US

V. Phone/Fax

Practice location:
  • Phone: 716-636-9004
  • Fax: 716-636-0132
Mailing address:
  • Phone: 716-636-9004
  • Fax: 716-636-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number250038
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number250038
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: