Crouse Medical Practice, Pllc

NPI #1922321934 in Syracuse, New York

Provider Information

NPI Number: 1922321934
Entity Type: Organization
Organization Name: Crouse Medical Practice, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 4, 2010
Last Updated: Sep 17, 2010

Practice Location

Address: 736 IRVING AVE
City: Syracuse
State: New York
ZIP Code: 13210-1687
Phone: (315) 470-7375

Authorized Official

Name: PAUL KRONENBERG, M.D.
Title: MEMBER
Phone: (315) 470-7375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X
Physician Assistant - Medical — Medical	363AM0700X
Neurological Surgery	207T00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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