Individual
MRS. GINA ANN BARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 ARLEEN AVE, HOLBROOK, NY 11741-2322
(631) 433-4122
Mailing address
40 ARLEEN AVE, HOLBROOK, NY 11741-2322
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
54313904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
SP ED
NY
Enumeration date
07/11/2012
Last updated
07/11/2012
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