Provider Demographics
NPI:1700089851
Name:BARANOWITZ, STEVEN ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALLEN
Last Name:BARANOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 OCEAN AVE
Mailing Address - Street 2:SUITE A6
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7328
Mailing Address - Country:US
Mailing Address - Phone:718-375-0870
Mailing Address - Fax:201-786-9100
Practice Address - Street 1:2044 OCEAN AVE
Practice Address - Street 2:SUITE A6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7328
Practice Address - Country:US
Practice Address - Phone:718-375-0870
Practice Address - Fax:201-786-9100
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151105-1207N00000X
NJ25MA04594500207N00000X
PAMD423153207N00000X
FLME103490207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26958OtherGHI
B1669Medicare UPIN
NY57D891Medicare ID - Type Unspecified