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

Crouse Medical Practice PLLC

Organization Non-Pharmacy Dispensing Site · NPI 1568874881

Crouse Medical Practice PLLC is a Non-Pharmacy Dispensing Site in Syracuse, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

739 Irving Ave Ste 200 And 300
Syracuse, NY 13210-1651
Phone: (315) 479-5070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 195907 (NY)

Record details

NPI number1568874881
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Internist Associates Of Central New York
NPI enumeratedMay 21, 2014
Last updated in NPPESMay 21, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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