Crouse Irving Memorial Electrocardiographic Group

LBN: Crouse Irving Memorial Electrocardiographic Group
Crouse Irving Memorial Electrocardiographic Group is an health care organization with primary practice located at 736 Irving Ave , Syracuse NY 13210-1687. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Crouse Irving Memorial Electrocardiographic Group can be contacted via phone (315) 470-7489, or through Longo, James via phone (315) 470-7489.

Contact Information

Primary practice address
736 Irving Ave Syracuse NY 13210-1687
Phone: (315) 470-7489
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Longo, James Doctor of Medicine (MD)
Phone: (315) 470-7489

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1174590657
LBN Legal business name Crouse Irving Memorial Electrocardiographic Group
DBA Doing business as
Authorized official Longo, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Jan 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174590657 NPPES
New York MEDICAID 00589322
New York Other CK1481

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