Provider Demographics
NPI:1063890358
Name:BARANOSKI, JACOB FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:FRANCIS
Last Name:BARANOSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1530 FRONT ST STE 400
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2265
Mailing Address - Country:US
Mailing Address - Phone:516-324-7500
Mailing Address - Fax:929-455-9653
Practice Address - Street 1:1530 FRONT ST STE 400
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2265
Practice Address - Country:US
Practice Address - Phone:516-324-7500
Practice Address - Fax:929-455-9653
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2023-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY322704207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery