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Contact Information

CROUSE MEDICAL PRACTICE, PLLC
736 IRVING AVE
SYRACUSE, NY13210-1687
 Phone: 315-470-7375
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CROUSE MEDICAL PRACTICE PLLC · (Female)

NPI # 1922321934
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2010
Last updated 09/17/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 03226395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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