Crouse Medical Practice, Pllc

LBN: Crouse Medical Practice, Pllc
Crouse Medical Practice, Pllc is an health care organization with primary practice located at 736 Irving Ave , Syracuse NY 13210-1687. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Urology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Crouse Medical Practice, Pllc can be contacted via phone (315) 470-7375, or through Kronenberg, Paul via phone (315) 470-7375.

Contact Information

Primary practice address
736 Irving Ave Syracuse NY 13210-1687
Phone: (315) 470-7375
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kronenberg, Paul Doctor of Medicine (MD)
Phone: (315) 470-7375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1922321934
LBN Legal business name Crouse Medical Practice, Pllc
DBA Doing business as
Authorized official Kronenberg, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Sep 17th, 2010 - about 15 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 1922321934 NPPES
New York MEDICAID 03226395

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