Organization
NSLIJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BARONE MD (PROGRAM DIRECTOR)
(718) 470-3000
Entity
Organization
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3000
Mailing address
26514 74TH AVE APT B1, GLEN OAKS, NY 11004-1166
(347) 638-4192
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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