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Organization

CROUSE HEALTH HOSPITAL

Active
Parent organization
CROUSE HEALTH HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
CROUSE HEALTH HOSPITAL
Authorized official
MR. MICHAEL TENGERES (CFO)
(315) 470-2330
Entity
Organization

Contact information

Practice address
739 IRVING AVE, SYRACUSE, NY 13210
(315) 470-7317
(315) 470-5845
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7317
(315) 470-5845

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
3301008H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00279396
NY
Enumeration date
01/23/2007
Last updated
08/21/2018
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