Provider Demographics
NPI:1952421109
Name:CRONE, OLIVE (CNM)
Entity Type:Individual
Prefix:MS
First Name:OLIVE
Middle Name:
Last Name:CRONE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 CASTLE HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1503
Mailing Address - Country:US
Mailing Address - Phone:845-358-3109
Mailing Address - Fax:
Practice Address - Street 1:223 LAFAYETTE AVE.
Practice Address - Street 2:SUITE M4
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901
Practice Address - Country:US
Practice Address - Phone:914-262-1342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28-000465176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife