Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crouse Medical Practice PLLC

Organization Orthopaedic Surgery Physician · NPI 1386990638

Crouse Medical Practice PLLC is an Orthopaedic Surgery Physician in East Syracuse, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5823 Widewaters Pkwy
East Syracuse, NY 13057-3081
Phone: (315) 474-6824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1386990638
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrouse Medical Practice PLLC
Authorized official Paul Kronenberg — Sole Shareholder · (315) 470-7825
Other names Sports Care Express
NPI enumeratedJuly 24, 2012
Last updated in NPPESJuly 24, 2012
Mailing addressPo Box 91004, Rochester, NY 14692-9104

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