Healthcare Provider Details

I. General information

NPI: 1114025525
Provider Name (Legal Business Name): CROTON PEDIATRICS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 GRAND STREET
CROTON ON HUDSON NY
10520
US

IV. Provider business mailing address

130 GRAND STREET
CROTON ON HUDSON NY
10520
US

V. Phone/Fax

Practice location:
  • Phone: 914-271-4727
  • Fax: 914-271-5639
Mailing address:
  • Phone: 914-271-4727
  • Fax: 914-271-5639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. GLENN J BELKIN
Title or Position: PARTNER
Credential: DO
Phone: 914-271-4727