Provider Demographics
NPI:1669523957
Name:CRONIN, NOREEN NAPPO (PHD)
Entity type:Individual
Prefix:DR
First Name:NOREEN
Middle Name:NAPPO
Last Name:CRONIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 VERN LN
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1315
Mailing Address - Country:US
Mailing Address - Phone:716-827-8274
Mailing Address - Fax:716-826-3309
Practice Address - Street 1:817 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2049
Practice Address - Country:US
Practice Address - Phone:716-827-8274
Practice Address - Fax:716-826-3309
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010952103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6190351OtherINDEPENDENT HEALTH
NY6802150OtherGHI
NY040812000002OtherFIDELIS
NY145403OtherVALUE OPTIONS
NY00020562701OtherUNIVERA
NY000511377001OtherMERITAIN
NY000511377001OtherBLUE CROSS BLUE SHIELD
NY110862OtherMHN
NY01406651Medicaid
NY110862OtherMHN
NY6190351OtherINDEPENDENT HEALTH