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Organization

CROUSE MEDICAL PRACTICE PLLC

Active
Other names
Internist Associates of Central New York
Organization subpart
No

Provider details

NPI number
Authorized official
KIM DEC (PRACTICE MANAGER)
(315) 701-2550
Entity
Organization

Contact information

Practice address
739 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1651
(315) 479-5070
(315) 701-2520
Mailing address
730 S CROUSE AVE, SUITE 204, SYRACUSE, NY 13210-1754
(315) 479-5070
(315) 701-2520

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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