Individual
DR. EDWARD M BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 ROOSEVELT AVE, STE 204, VALLEY STREAM, NY 11581-1106
(516) 374-4199
(516) 295-5303
Mailing address
375 E MAIN ST, STE 24, BAY SHORE, NY 11706-8418
(516) 872-8309
(516) 872-8727
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
162404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01128436
—
NY
Enumeration date
06/16/2005
Last updated
05/30/2019
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