Individual
MATTHEW BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554
(516) 572-8774
Mailing address
22201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554
(516) 572-8774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048718
LICENSES
NY
Enumeration date
07/21/2006
Last updated
07/08/2007
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