Individual provider · NPI-1
Dr. Kerry A Cronin, M.D.
Emergency Medicine · Port Jefferson Station, NY
NPI number1609805035
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1609805035
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kerry A Cronin
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2006
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 227966 | NY | Yes |
Practice location
4724 Nesconset HwyPort Jefferson Station, NY 11776-2580
Phone 631-474-5900
Mailing address
519 W Jericho TpkeSmithtown, NY 11787-2619
Phone 631-360-5900
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