Healthcare Provider Details

I. General information

NPI: 1336183375
Provider Name (Legal Business Name): CHERYL CRONEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11918 223RD ST
CAMBRIA HEIGHTS NY
11411-2024
US

IV. Provider business mailing address

11918 223RD ST
CAMBRIA HEIGHTS NY
11411-2024
US

V. Phone/Fax

Practice location:
  • Phone: 917-855-0146
  • Fax:
Mailing address:
  • Phone: 19178550146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number184247
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: