Provider Demographics
NPI:1457959223
Name:BARON, HOWARD JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:JOSEPH
Last Name:BARON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 SHORE RD APT 6B
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4374
Mailing Address - Country:US
Mailing Address - Phone:516-330-1628
Mailing Address - Fax:
Practice Address - Street 1:360 SHORE RD APT 6B
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4374
Practice Address - Country:US
Practice Address - Phone:516-330-1628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor