Provider Demographics
NPI:1841575693
Name:CLEMENT M. BARONE, M.D., P.C.
Entity Type:Organization
Organization Name:CLEMENT M. BARONE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-988-1303
Mailing Address - Street 1:1440 YORK AVE
Mailing Address - Street 2:P-1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2577
Mailing Address - Country:US
Mailing Address - Phone:212-988-1303
Mailing Address - Fax:212-628-9113
Practice Address - Street 1:1440 YORK AVE
Practice Address - Street 2:P-1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2577
Practice Address - Country:US
Practice Address - Phone:212-988-1303
Practice Address - Fax:212-628-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104212174400000X, 2085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY45813OtherUNITED HEALTHCARE
NY524202OtherUNITED HEALTHCARE
NY104212NYOther1199
NY583391OtherEMPIRE BLUE CROSS BLUE SHIELD
NY45813OtherUNITED HEALTHCARE