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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

NPI # 1922321934
LBN Legal business name CROUSE MEDICAL PRACTICE, PLLC
Authorized official PAUL KRONENBERG - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2010
Last updated 09/17/2010 - About 16 years ago
Identifiers
NY Medicaid 03226395
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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