Provider Demographics
NPI:1639243611
Name:BARON HOSPITAL MEDICAL SUPPLY
Entity Type:Organization
Organization Name:BARON HOSPITAL MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-486-6164
Mailing Address - Street 1:34 FRANKLIN AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1221
Mailing Address - Country:US
Mailing Address - Phone:718-486-6164
Mailing Address - Fax:718-963-2673
Practice Address - Street 1:34 FRANKLIN AVE STE 220
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1221
Practice Address - Country:US
Practice Address - Phone:718-486-6164
Practice Address - Fax:718-963-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01251174Medicaid
NYA871439OtherOXFORD HEALTHPLANS
NYA871439OtherOXFORD HEALTHPLANS