Crocco, Mary Julie

Crocco, Mary Julie is an sole proprietor health care provider with primary practice located at 4422 3Rd Ave Department Of Obstetrics & Gynecology, Bronx NY 10457-2545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Crocco, Mary Julie can be contacted via phone (718) 960-9415.

Contact Information

Primary practice address
4422 3Rd Ave Department Of Obstetrics & Gynecology Bronx NY 10457-2545
Phone: (718) 960-9415
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000124 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000158 New York

Profile Details

NPI number 1285605949
LBN Legal business name Crocco, Mary Julie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated May 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285605949 NPPES
Connecticut Other 0508566 CIGNA
Connecticut Other OV6320 CIGNA
Connecticut Other P1904733 CIGNA
Connecticut Other 00195491003 CIGNA
Connecticut MEDICAID 004180452 CIGNA
Connecticut Other 000124 CIGNA
Connecticut Other 004180452-00 CIGNA

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