Individual
ERIC EDWARD CROUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
138 E. GENESEE ST., BALDWINSVILLE, NY 13027-2720
(315) 635-2333
(315) 635-3945
Mailing address
136 E GENESEE ST, BALDWINSVILLE, NY 13027-2720
(315) 635-2333
(315) 635-3945
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
X006586-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA1495
MEDICARE PTAN
—
Enumeration date
09/20/2006
Last updated
03/29/2018
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