Provider Demographics
NPI:1043252109
Name:BARON, BONNY JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:BONNY
Middle Name:JOYCE
Last Name:BARON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:309 HICKS ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4578
Mailing Address - Country:US
Mailing Address - Phone:718-245-2972
Mailing Address - Fax:718-245-4799
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2057
Practice Address - Country:US
Practice Address - Phone:718-245-2972
Practice Address - Fax:718-245-4799
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY171495207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine