Individual
DR. KERRY A CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4724 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2580
(631) 474-5900
Mailing address
519 W JERICHO TPKE, SMITHTOWN, NY 11787-2619
(631) 360-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02411663
—
NY
01
—
7196554
AETNA
NY
Enumeration date
06/30/2006
Last updated
12/16/2019
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