Provider Demographics
NPI:1750465670
Name:KRONWITH, DORIE HANKIN (MD)
Entity Type:Individual
Prefix:
First Name:DORIE
Middle Name:HANKIN
Last Name:KRONWITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26910 GRAND CENTRAL PKWY APT 14O
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11005-1014
Mailing Address - Country:US
Mailing Address - Phone:516-509-6642
Mailing Address - Fax:347-235-0772
Practice Address - Street 1:26910 GRAND CENTRAL PKWY APT 14O
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11005-1014
Practice Address - Country:US
Practice Address - Phone:516-509-6642
Practice Address - Fax:347-235-0772
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY124927-12080P0006X, 2080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities