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Crouse Medical Practice Pllc
Non-Pharmacy Dispensing Site in Syracuse, New York
NPI 1568874881

Crouse Medical Practice Pllc is a Non-Pharmacy Dispensing Site based in San Diego, NY. Crouse Medical Practice Pllc practices in Syracuse, NY. The NPI Number for Crouse Medical Practice Pllc is 1568874881 and holds a License No. 195907 (New York).

The current practice location address for Crouse Medical Practice Pllc is 739 Irving Ave, Syracuse, NY and can be reached out via phone at 315-479-5070. You can also correspond with Crouse Medical Practice Pllc through the mailing address at 5626 OBERLIN DR, SAN DIEGO, CA - 92121-1705 (mailing address contact number: ).

Location: 739 Irving Ave, Syracuse, NY, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568874881
Provider Name
Crouse Medical Practice Pllc
Credential
Provider Entity Type
Organization
Address
739 Irving Ave, Syracuse, NY, 92121-1705
Phone Number
315-479-5070
Fax Number
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
739 Irving Ave
City
Syracuse
State
New York
Zip
13210-1651
Phone Number
315-479-5070
Fax Number
person
Provider Business Mailing Address Details
Address
5626 Oberlin Dr
City
San Diego
State
California
Zip
92121-1705
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
195907 (New York)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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