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Organization
CROUSE HEALTH HOSPITAL INC
Active
Organization
CROUSE HEALTH HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI HARRIS (CFO)
(315) 470-8058
Entity
Organization
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
3301008H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00279396
—
NY
05
—
03130476
—
NY
Enumeration date
01/10/2007
Last updated
08/17/2015
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