Doc NPI

1386990638

Everything you always wanted to know about CROUSE MEDICAL PRACTICE PLLC 5 SPORTS CARE EXPRESS KRONENBERG PAUL but were afraid to ask.

CROUSE MEDICAL PRACTICE PLLC 5 SPORTS CARE EXPRESS KRONENBERG PAUL

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Last Name Authorized Official First Name
CROUSE MEDICAL PRACTICE PLLC 5 SPORTS CARE EXPRESS KRONENBERG PAUL
Gender:
none
Enumeration date:
2012-07-24
Last update date:
2012-07-24
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN

Taxonomies

Taxonomy State License Number Primary?
204E00000X Oral & Maxillofacial Surgery none none
363LW0102X Women's Health none none

Phone Numbers

Type Number
Mailing Address Telephone Number 3154463904
Authorized Official Telephone Number 3154707825
Mailing Address Fax Number 3155526590
Practice Location Address Telephone Number 3154746824

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 91004 ROCHESTER NY 14692 NY
Practice Location Address 5823 WIDEWATERS PKWY EAST SYRACUSE NY 13057 NY

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1003248881 ALL ISLAND PHYSICIAN PRACTICE
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1013196823 WORDEN, ROBERT
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1073630638 PATEL, PANKAJ
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1083614226 BERSANI, THOMAS
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1093782542 ANDERS, LYDIA
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1093976847 DOCOUS, CATHERINE
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1124168117 ST VINCENTS MEDICAL CENTER STA
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1134124944 SADRIEH, JALAL
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1134406374 CARDIAC ELECTROPHYSIOLOGY CONS
Organization		 716 JAMES ST NY SYRACUSE
1174517395 WILLIAM A GRABER MD
Organization		 1724 BURRSTONE RD NY NEW HARTFORD
1174590657 CROUSE IRVING MEMORIAL ELECTRO
Organization		 736 IRVING AVE NY SYRACUSE
1194711911 GOFF, KATHLEEN
Individual		 4900 BROAD RD NY SYRACUSE
1215949946 GORDON, DAVID
Individual		 221 BROAD ST NY ONEIDA
1235127820 SPRING OB GYN, PC
Organization		 135 SPRING ST NY NEW YORK
1235132507 BARKER, STEPHEN
Individual		 739 IRVING AVE NY SYRACUSE
1275728024 FAURIE, PATRICIA
Individual		 190 INTREPID LN NY SYRACUSE
1285623017 TABAIE, MOHAMMAD
Individual		 4850 BROAD RD NY SYRACUSE
1285628321 VENERUS, BRYAN
Individual		 140 BURWELL ST NY LITTLE FALLS
1285684076 MAYNARD, LAURENCE
Individual		 1656 CHAMPLIN AVE NY NEW HARTFORD
1316004153 TOOKER, KRISTIN
Individual		 221 BROAD ST NY ONEIDA
1316935901 DODSON, CARA
Individual		 135 SPRING ST NY NEW YORK
1407844095 YIM, BONNIE
Individual		 135 SPRING ST NY NEW YORK
1427047794 COMMUNITY ORTHOPEDICS PC
Organization		 4900 BROAD RD NY SYRACUSE
1457345670 SOJA, ANGELA
Individual		 1724 BURRSTONE RD NY NEW HARTFORD
1467448951 ROME SURGICAL GROUP LLC
Organization		 7900 TURIN RD NY ROME
1497741243 SOPP, SHANE
Individual		 4900 BROAD RD NY SYRACUSE
1518018902 FASTMAN, DAVID
Individual		 355 BARD AVE NY STATEN ISLAND
1528277928 SWEENEY, KRISTIN
Individual		 355 BARD AVE NY STATEN ISLAND
1538153754 BUSCHMANN, LAURA
Individual		 1724 BURRSTONE RD NY NEW HARTFORD
1538455910 BROOKLYN HOSPITAL WOMENS HEALT
Organization		 240 WILLOUGHBY ST NY BROOKLYN
1548351935 THOMAS A BERSANI, MD PC
Organization		 3400 VICKERY RD NY NORTH SYRACUSE
1568451391 MOHAMMAD B TABAIE, MD PC
Organization		 4850 BROAD RD NY SYRACUSE
1609865054 AESTHETIC PLASTIC SURGERY OF S
Organization		 5700 W GENESEE ST NY CAMILLUS
1700037975 AMBOY MEDICAL PRACTICE PC
Organization		 355 BARD AVE NY STATEN ISLAND
1710954276 MANTA, OANA
Individual		 736 IRVING AVE NY SYRACUSE
1750384004 BAKER, BRENDA
Individual		 739 IRVING AVE NY SYRACUSE
1780672378 MALDONADO, BRINA
Individual		 135 SPRING ST NY NEW YORK
1801882063 KARANDY, DAVID
Individual		 7900 TURIN RD NY ROME
1811054042 RICHMOND UNIVERSITY MEDICAL CE
Organization		 355 BARD AVE NY STATEN ISLAND
1811106206 APPLEGATE-OLINSKY, BARBARA
Individual		 355 BARD AVE NY STATEN ISLAND
1811964281 GAGEN, JACQUELINE
Individual		 11 ALVENA AVE, SUITE 101 NY CORTLAND
1831505643 ROBERT C CUPELO MD PLLC
Organization		 5000 BRITTONFIELD PKWY NY EAST SYRACUSE
1841583523 BARBULESCU, NICOLAE
Individual		 121 DEKALB AVE NY BROOKLYN
1861486912 GRABER, WILLIAM
Individual		 1724 BURRSTONE RD NY NEW HARTFORD
1902083116 DEBORAH GAHR MD PLLC
Organization		 430 W BROADWAY NY NEW YORK
1902136096 CORTLAND GASTROENTEROLOGY PC
Organization		 1259 FISHER AVE NY CORTLAND
1942277363 CNY OPHTHALMOLOGY PLLC
Organization		 4900 BROAD RD NY SYRACUSE
1942277959 TRASK, LORETTA
Individual		 150 BROAD ST NY HAMILTON
1942299219 CRITICAL CARE ASSOCIATES OF SY
Organization		 736 IRVING AVE NY SYRACUSE
1942299318 STEPHEN L BARKER, MD PC
Organization		 739 IRVING AVE NY SYRACUSE
1952397705 SHANE M SOPP, MD PC
Organization		 4900 BROAD RD NY SYRACUSE
1962490557 GAHR, DEBORAH
Individual		 135 SPRING ST NY NEW YORK
1982609780 RICCARDI, TIMOTHY
Individual		 4900 BROAD RD NY SYRACUSE
1033105721 OBEID, ANIS
Individual		 736 IRVING AVE NY SYRACUSE
1538500152 CROUSE MEDICAL PRACTICE PLLC
Organization		 475 IRVING AVE NY SYRACUSE

Other NPI Records that share an address

NPI Name Address State City
1083024327 RUSSO, MARK
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1104925833 MELFI, RENEE
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1114457504 DELANEY, CONNOR
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1194270066 TEMPLAR, JACOB
Individual		 5496 E TAFT RD NY NORTH SYRACUSE
1205121324 RAPHAEL, BRIAN
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1205381167 SCHEMINGER, RYAN
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1215219167 RSM MEDICAL ASSOCIATES, PLLC
Organization		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1275583486 CNY INTERNISTS, PC
Organization		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1336698406 EMPIRE DERMATOLOGY PLLC
Organization		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1467428417 JONES, JEFFREY
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1467431718 WOOD, VIRGINIA
Individual		 4500 PEWTER LN NY MANLIUS
1477973824 SYRACUSE ORTHOPEDIC SPECIALIST
Organization		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1568444537 BECKER, PETER
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1598748956 PINKES, JOSEPH
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1609249028 KIRKPATRICK, LAURA
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1619412947 MCGOVERN, CAROLYN
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1700315611 HENNESSEY, CAITLYN
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1750371548 CUPELO, ROBERT
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1750556320 EVERDING, NATHAN
Individual		 5719 WIDEWATERS PKWY NY SYRACUSE
1780095455 SYRACUSE ORTHOPEDIC SPECIALIST
Organization		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
1831165109 TUPPER, HILLARY
Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE
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Individual		 5823 WIDEWATERS PKWY NY EAST SYRACUSE