1104219542 NPI number — INGRID MARIA BARONE FNP

Table of content: INGRID MARIA BARONE FNP (NPI 1104219542)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104219542 NPI number — INGRID MARIA BARONE FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARONE
Provider First Name:
INGRID
Provider Middle Name:
MARIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104219542
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
289 PEA POND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KATONAH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10536-3827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-498-2441
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 VETERANS RD
Provider Second Line Business Practice Location Address:
URGENT CARE
Provider Business Practice Location Address City Name:
YORKTOWN HTS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10598
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-241-1050
Provider Business Practice Location Address Fax Number:
914-242-1516
Provider Enumeration Date:
03/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  F339387-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04095218 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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