National Provider Identifier

Mary Frances Angela Croake, D.O.

Mary Frances Angela Croake, D.O. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1902291917Buffalo, NYDiagnostic Radiology Physician

Profile Overview

NPI
1902291917
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
April 06, 2015
Last Updated
April 30, 2021

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Mailing Address

  • 56 Lucrest Dr
  • Irondequoit, NY 14609-2904

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1902291917
Entity Type
Individual
Last Name
Croake
First Name
Mary Frances
Middle Name
Angela
Credential
D.O.
Mailing Street Address
56 Lucrest Dr
Mailing City
Irondequoit
Mailing State
NY
Mailing ZIP Code
14609-2904
Mailing Country
US
Mailing Phone
(716) 440-6626
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-5707
Enumeration Date
April 06, 2015
Last Updated
April 30, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Student in an Organized Health Care Education/Training Program (390200000X)