Basic Information
| Provider Information | |||||||||
| NPI: | 1306850730 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARONE | ||||||||
| FirstName: | ELEANOR | ||||||||
| MiddleName: | JANE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 LOWELL AVE | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110402810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163264160 | ||||||||
| FaxNumber: | 5164370482 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 LOWELL AVE | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110402810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163264160 | ||||||||
| FaxNumber: | 5164370482 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2006 | ||||||||
| LastUpdateDate: | 04/09/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | ME83336 | FL | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.