Crouse Medical Practice PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CROUSE MEDICAL PRACTICE PLLC

Doing business as

Internist Associates of Central New York

Practice address

102 W Seneca St
Manlius, NY 13104-2480

Phone

(315) 682-6600

Fax

(315) 682-0570

NPI assigned

Oct 19, 2010

Last updated

Feb 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Dec

Title

Practice Manager

Phone

(315) 701-2550

Specialties & licenses 1

Addresses

Other names 1

• Internist Associates of Central New York Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1609186006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S CROUSE AVE STE 204",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101746",
            "telephone_number": "315-479-5070",
            "fax_number": "315-701-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W SENECA ST",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042480",
            "telephone_number": "315-682-6600",
            "fax_number": "315-682-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUSE MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "DEC",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-701-2550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internist Associates of Central New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lauren Coppola, PH.D., LMFT
• Sheila O'Hara Coughlin, LCSW
• Carolyn L Coveney, MD
• M. Stephanie Cross
• Elaine R Croucher, OTR
• Elizabeth Anne Cunningham, M.A. CCC-SLP
• Brytney Valentine Custer, PTA
• CVS Albany, LLC (CVS Pharmacy #07617)
• D.G. Baker Mental Health Counseling Services, PLLC
• Stacy Marie Davison, LCSW

• Durable Medical Equipment & Medical Supplies in Manlius, NY
• Providers in Manlius, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.