Organization
CROUSE RADIOLOGY ASSOCIATES LLP
Active
Organization
CROUSE RADIOLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN DRUMM (CEO)
(315) 234-7608
Entity
Organization
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7551
(315) 470-2719
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 362-5285
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538418
—
NY
Enumeration date
09/06/2005
Last updated
04/09/2014
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