# CROUSE HEALTH HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CROUSE HEALTH HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699829846
- **Legal business name:** CROUSE HEALTH HOSPITAL
- **Authorized official:** MR. MICHAEL TENGERES (CFO)
- **Authorized official phone:** (315) 470-2330

## Contact information

- **Practice address:** 739 IRVING AVE, SYRACUSE, NY 13210
- **Practice address phone:** (315) 470-7317
- **Practice address fax:** (315) 470-5845
- **Mailing address:** 736 IRVING AVE, SYRACUSE, NY 13210-1687
- **Mailing address phone:** (315) 470-7317
- **Mailing address fax:** (315) 470-5845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 3301008H | NY | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/21/2018
