Crouse Medical Practice Pllc
Non-pharmacy Dispensing Site
739 Irving Ave, Suite 200 And 300, Syracuse
New York, 13210-1651
315-479-5070 Crouse Medical Practice Pllc is a Non-pharmacy Dispensing Site in Syracuse, New York. This organization is also known as sub part of Medvantx, Inc.. It is located at 739 Irving Ave, Suite 200 And 300, Syracuse and it's customer support contact number is 315-479-5070. The authorized person of Crouse Medical Practice Pllc is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Crouse Medical Practice Pllc is 195907 for Non-pharmacy Dispensing Site in New York.
Crouse Medical Practice Pllc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Crouse Medical Practice Pllc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Crouse Medical Practice Pllc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 739 Irving Ave, Suite 200 And 300, Syracuse,
New York, 13210-1651 |
| Phone: | 315-479-5070 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1568874881 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 21 May, 2014 |
| NPI Last Update On: | 21 May, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crouse Medical Practice Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 195907 | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110
San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Crouse Medical Practice Pllc at
739 Irving Ave, Suite 200 And 300, Syracuse, New York or can
call on customer care at 315-479-5070.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.