Crouse Medical Practice Pllc
NPI #1386990638 in East Syracuse, New York
Provider Information
- NPI Number
- 1386990638
- Entity Type
- Organization
- Organization Name
- Crouse Medical Practice Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CROUSE MEDICAL PRACTICE PLLC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 5823 WIDEWATERS PKWY
- City
- East Syracuse
- State
- New York
- ZIP Code
- 13057-3081
- Phone
- (315) 474-6824
Authorized Official
- Name
- PAUL KRONENBERG, MD
- Title
- SOLE SHAREHOLDER
- Phone
- (315) 470-7825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Physician Assistant |
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