Provider Demographics
NPI:1942514104
Name:BARON, BONNIE CLAUDIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:CLAUDIA
Last Name:BARON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CRAGMERE OVAL
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5431
Mailing Address - Country:US
Mailing Address - Phone:845-634-3408
Mailing Address - Fax:
Practice Address - Street 1:35 CRAGMERE OVAL
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5431
Practice Address - Country:US
Practice Address - Phone:845-634-3408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006018-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist