Provider Demographics
NPI:1962543124
Name:DIANA BARONE & RANDY COHEN
Entity type:Organization
Organization Name:DIANA BARONE & RANDY COHEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-494-7012
Mailing Address - Street 1:1530 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1519
Mailing Address - Country:US
Mailing Address - Phone:718-494-7012
Mailing Address - Fax:718-698-9894
Practice Address - Street 1:1530 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1519
Practice Address - Country:US
Practice Address - Phone:718-494-7012
Practice Address - Fax:718-698-9894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003885-1213EP1101X
NYN002790-1213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP31041Medicare ID - Type UnspecifiedDR. COHEN
NYP41531Medicare ID - Type UnspecifiedDR. BARONE
NY5696060001Medicare NSC
NYU06468Medicare UPIN
NYT51289Medicare UPIN