Provider Demographics
NPI:1770853731
Name:BARONE, GEORGINA (DVM)
Entity Type:Individual
Prefix:DR
First Name:GEORGINA
Middle Name:
Last Name:BARONE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SUNRISE HWY
Mailing Address - Street 2:VMCLI
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-2033
Mailing Address - Country:US
Mailing Address - Phone:631-587-0800
Mailing Address - Fax:
Practice Address - Street 1:75 SUNRISE HWY
Practice Address - Street 2:VMCLI
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-2033
Practice Address - Country:US
Practice Address - Phone:631-587-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007750174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian