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

Crouse Medical Practice PLLC

Organization Clinical Medical Laboratory · NPI 1548579212

Crouse Medical Practice PLLC is a Clinical Medical Laboratory in Syracuse, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

739 Irving Ave Ste 350
Syracuse, NY 13210-1651
Phone: (315) 479-5070
Fax: (315) 701-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 33D0166447 (NY)

Record details

NPI number1548579212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Dec — Practice Manager · (315) 701-2550
Other names Internist Associates Of Central New York Clinical Laboratories
NPI enumeratedSeptember 29, 2010
Last updated in NPPESFebruary 14, 2011
Mailing address730 S Crouse Ave, Suite 204, Syracuse, NY 13210-1754

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