Provider Demographics
NPI:1275189995
Name:BARON, SHERRY S
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:S
Last Name:BARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 OCEAN AVE APT 9H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5450
Mailing Address - Country:US
Mailing Address - Phone:917-945-4405
Mailing Address - Fax:
Practice Address - Street 1:1740 OCEAN AVE APT 9H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5450
Practice Address - Country:US
Practice Address - Phone:917-945-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-18
Last Update Date:2019-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty