Provider Demographics
NPI:1992561807
Name:CROPANO, KERRIN ROSE (NP)
Entity type:Individual
Prefix:
First Name:KERRIN
Middle Name:ROSE
Last Name:CROPANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1023 CLINTON ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3184
Mailing Address - Country:US
Mailing Address - Phone:518-526-2301
Mailing Address - Fax:
Practice Address - Street 1:10740 QUEENS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4252
Practice Address - Country:US
Practice Address - Phone:718-459-0900
Practice Address - Fax:718-459-0910
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY311631363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health