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
102 W SENECA ST, MANLIUS, NY 13104-2480
(315) 682-6600
(315) 682-0570
Mailing address
730 S CROUSE AVE STE 204, SYRACUSE, NY 13210-1746
(315) 479-5070
(315) 701-2520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
02/01/2011
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