Provider Demographics
NPI:1104219542
Name:BARONE, INGRID MARIA (FNP)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:MARIA
Last Name:BARONE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 PEA POND RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3827
Mailing Address - Country:US
Mailing Address - Phone:917-498-2441
Mailing Address - Fax:
Practice Address - Street 1:225 VETERANS RD
Practice Address - Street 2:URGENT CARE
Practice Address - City:YORKTOWN HTS
Practice Address - State:NY
Practice Address - Zip Code:10598
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339387-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04095218Medicaid
NYA400125847Medicare PIN