Individual
MRS. KATHARINE HAXALL CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, CPNP
Contact information
Practice address
1111 MONTAUK HWY, SUITE 104, WEST ISLIP, NY 11795-4910
(631) 661-2510
(631) 669-6502
Mailing address
7 2ND PL, GARDEN CITY, NY 11530-6118
(202) 302-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6435541
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382344
NY
Other
Enumeration date
09/30/2012
Last updated
06/15/2014
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