Individual
JO PASSEGGIO BARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 WANTAGH AVE, WANTAGH, NY 11793-2209
(516) 785-5393
Mailing address
1228 WANTAGH AVE, WANTAGH, NY 11793-2209
(516) 785-5393
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
21JO0154064
NY
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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