Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 193350 | NY |
N | 208000000X | Pediatrician | 193350 | NY |
NPI | 1619979697 |
---|---|
Provider Name | David F Kronn |
First Address | Valhalla, NY 10595-1503 |
Second Address | Valhalla, NY 10595-1503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 21/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001367186 | (05) | CT |
01677292 | (05) | NY |
F81234 | (02) | NY |