Crista Lynn Coon – Specialist in North Rose, NY

Key facts

NPI: 1558089847
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
License: 1156908 (NY)
Practice address: 10456 Salter Rd
North Rose, NY 14516-9708
Phone: (315) 587-4005
NPI assigned: Aug 22, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Bright Start Pediatric Services Early Intervention Provider Agency · Fairport, NY · NPI 1467618231

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1156908	NY	MD	Specialist

Practice roles

Organization	Specialty	Status	New patients
Bright Start Pediatric Services		Past since Aug 1, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	1156908	NY	Yes

Addresses

Primary practice location

10456 Salter Rd
North Rose, NY 14516-9708

Mailing address

50 Clover Crossings
Manchester, NY 14504-9782
Phone (607) 731-6144

Other names

Crista Lynn Chiaramonte Former name

Other providers in North Rose, NY

All providers in North Rose, NY · Specialist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.