Provider Demographics
NPI:1740406768
Name:CRONIN, MEREDITH LEIGH (RPA-C)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LEIGH
Last Name:CRONIN
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 SHORE RD
Mailing Address - Street 2:APT. 4C
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4755
Mailing Address - Country:US
Mailing Address - Phone:516-705-5821
Mailing Address - Fax:
Practice Address - Street 1:5 EAST 98TH STREET BOX 1188
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-1628
Practice Address - Fax:212-241-9429
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011432363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant