Organization
CROUSE MEDICAL PRACTICE PLLC
Active
Parent organization
CROUSE MEDICAL PRACTICE PLLC
Other names
Neurosurgery Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROUSE MEDICAL PRACTICE PLLC
Authorized official
PAUL J KRONENBERG MD (SOLE SHAREHOLDER)
(315) 470-7825
Entity
Organization
Contact information
Practice address
475 IRVING AVE, SUITE 418, SYRACUSE, NY 13210-1756
(315) 475-3999
Mailing address
475 IRVING AVE, SUITE 418, SYRACUSE, NY 13210-1756
(315) 475-3999
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/11/2013
Last updated
08/28/2013
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