Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N0043621 | NY |
NPI | 1336214733 |
---|---|
Provider Name | Dr. Salvatore Anthony Barone |
First Address | Brooklyn, NY 11235-3900 |
Second Address | Bellerose, NY 11426-2123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01158176 | (05) | NY |
U06386 | (02) | NY |