Provider Demographics
NPI:1306850730
Name:BARONE, ELEANOR JANE (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:JANE
Last Name:BARONE
Suffix:
Gender:F
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2810
Mailing Address - Country:US
Mailing Address - Phone:516-326-4160
Mailing Address - Fax:516-437-0482
Practice Address - Street 1:6 LOWELL AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2810
Practice Address - Country:US
Practice Address - Phone:516-326-4160
Practice Address - Fax:516-437-0482
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83336208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7168900482Medicare PIN
FLH50437Medicare UPIN
FL03291AMedicare ID - Type Unspecified
NY0159DMMedicare UPIN