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General NPI Number Information
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NPI Number | 1720082118
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Entity Type | Individual
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Provider Name | RONALD CARONIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 2860 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-593-7709
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Fax | 516-593-7778
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Provider Business Mailing Address
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Address Line | 825 E GATE BLVD STE 111
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City | GARDEN CITY
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State | NY
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Zip | 11530-2136
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Country | US
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Telephone | 516-804-5200
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Fax | 516-240-6540
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 181658
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License Number State | NY
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