Provider Demographics
NPI:1881828770
Name:MCCRONE, ALISON B (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:B
Last Name:MCCRONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-255-7011
Mailing Address - Fax:315-255-7099
Practice Address - Street 1:37 W GARDEN ST
Practice Address - Street 2:STE 203
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2657
Practice Address - Country:US
Practice Address - Phone:315-253-6257
Practice Address - Fax:315-253-8693
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY173039207P00000X
NY248975208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03117113Medicaid
NYJ400004160Medicare PIN