Provider Demographics
NPI:1316179989
Name:BARON S LONNER MD PC
Entity Type:Organization
Organization Name:BARON S LONNER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:LONNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-986-0140
Mailing Address - Street 1:820 SECOND AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4530
Mailing Address - Country:US
Mailing Address - Phone:212-986-0140
Mailing Address - Fax:
Practice Address - Street 1:820 SECOND AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4530
Practice Address - Country:US
Practice Address - Phone:212-986-0140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY244281Medicare UPIN