Provider Demographics
NPI:1336214733
Name:BARONE, SALVATORE ANTHONY (DPM)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:ANTHONY
Last Name:BARONE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 VOORHIES AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3900
Mailing Address - Country:US
Mailing Address - Phone:718-646-5553
Mailing Address - Fax:718-646-3062
Practice Address - Street 1:8448 253RD ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2123
Practice Address - Country:US
Practice Address - Phone:718-646-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0043621213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01158176Medicaid
NYU06386Medicare UPIN
NYP50631Medicare ID - Type Unspecified