Provider Demographics
NPI:1114993599
Name:KROSS, RONALD ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ANTHONY
Last Name:KROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROCHELLE ST.
Mailing Address - Street 2:CITY ISLAND
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10464
Mailing Address - Country:US
Mailing Address - Phone:718-885-2037
Mailing Address - Fax:718-885-3225
Practice Address - Street 1:1 ROCHELLE ST.
Practice Address - Street 2:CITY ISLAND
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10464-1606
Practice Address - Country:US
Practice Address - Phone:718-885-2037
Practice Address - Fax:718-885-3225
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135710207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB16063Medicare UPIN
B16063Medicare UPIN
53A071Medicare ID - Type Unspecified