Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N3885 | NY |
NPI | 1437100591 |
---|---|
Provider Name | Diana Barone |
First Address | Staten Island, NY 10314-1519 |
Second Address | Staten Island, NY 10314-1519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 09/06/2008 |