Provider Demographics
NPI:1922293141
Name:BARON, ELIZABETH A (PA-C)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:BARON
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:101 NICOLLS RD # HSCL4060
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-2078
Mailing Address - Fax:631-638-1199
Practice Address - Street 1:101 NICOLLS RD # HSCL4060
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-2078
Practice Address - Fax:631-638-1199
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2025-03-03
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Provider Licenses
StateLicense IDTaxonomies
NY016955-01363A00000X
MA1336363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant