Individual
DR. KRISTEN ANNE CERCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3 GATES CIR, MILLARD FILLMORE GATES HOSPITAL (CHILD PSYC) 8TH FLOOR, BUFFALO, NY 14209-1120
(716) 887-5792
(716) 887-5801
Mailing address
3 GATES CIR, MILLARD FILLMORE GATES HOSPITAL (CHILD PSYC) 8TH FLOOR, BUFFALO, NY 14209-1120
(716) 887-5792
(716) 887-5801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018043-1
NY
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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