Individual
GERARD MCCROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E GENESEE ST, SUITE 100, SYRACUSE, NY 13210-1892
(315) 472-8835
(315) 476-3712
Mailing address
1000 E GENESEE ST, SUITE 100, SYRACUSE, NY 13210-1892
(315) 269-9729
(315) 472-3712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
202020-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
202020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01692502
—
NY
Enumeration date
12/23/2005
Last updated
04/03/2014
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