Provider Demographics
NPI:1639441801
Name:CROMIE, WILLIAM JOSEPH (WILLIAM CROMIE MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:CROMIE
Suffix:
Gender:M
Credentials:WILLIAM CROMIE MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:157 LANCASTER STREET
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12210-1903
Mailing Address - Country:US
Mailing Address - Phone:518-432-8962
Mailing Address - Fax:518-432-8962
Practice Address - Street 1:157 LANCASTER STREET
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12210-1903
Practice Address - Country:US
Practice Address - Phone:518-432-8962
Practice Address - Fax:518-432-8962
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY136893-12088P0231X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology