MEDICARE: DIANA BARONE DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	N3885	NY

General Provider Information

NPI Number	:	1437100591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA BARONE DPM

Provider Business Mailing Address
First Line	:	1530 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-1519
Country	:	US
Telephone Number	:	718-494-7012
Fax Number	:	718-698-9894

Provider Business Practice Location Address
First Line	:	1530 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-1519
Country	:	US
Telephone Number	:	718-494-7012
Fax Number	:	718-698-9894

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	06/09/2008

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