Healthcare Provider Details

I. General information

NPI: 1669523957
Provider Name (Legal Business Name): NOREEN NAPPO CRONIN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 ABBOTT RD
BUFFALO NY
14220-2049
US

IV. Provider business mailing address

20 VERN LN
CHEEKTOWAGA NY
14227-1315
US

V. Phone/Fax

Practice location:
  • Phone: 716-827-8274
  • Fax: 716-826-3309
Mailing address:
  • Phone: 716-827-8274
  • Fax: 716-826-3309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number010952
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: