Healthcare Provider Details

I. General information

NPI: 1538041785
Provider Name (Legal Business Name): ABIGAIL CRONIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 E RIDGE RD STE 5
ROCHESTER NY
14621-2019
US

IV. Provider business mailing address

984 GLEASON CIR
EAST ROCHESTER NY
14445-2355
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-2500
  • Fax:
Mailing address:
  • Phone: 315-247-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: