Provider Demographics
NPI:1770845307
Name:GARONE, KERRY ANN
Entity Type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ANN
Last Name:GARONE
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 1:14961 WILLETS POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3617
Mailing Address - Country:US
Mailing Address - Phone:646-369-6088
Mailing Address - Fax:
Practice Address - Street 1:14961 WILLETS POINT BLVD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3617
Practice Address - Country:US
Practice Address - Phone:646-369-6088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist