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CROUSE MEDICAL PRACTICE, PLLC

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Company Details

Name: CROUSE MEDICAL PRACTICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Feb 2010 (15 years ago)
Entity Number: 3912731
ZIP code: 13210
County: Onondaga
Place of Formation: New York
Address: 739 IRVING AVENUE, SUITE 340, ATTN: EXECUTIVE DIRECTOR, SYRACUSE, NY, United States, 13210

Contact Details

Phone +1 315-766-1627

Phone +1 315-470-5880

Phone +1 315-701-2535

Phone +1 315-470-7747

Phone +1 315-766-1666

Phone +1 315-470-7409

Phone +1 315-652-6551

Phone +1 315-448-6215

Phone +1 315-472-7401

Phone +1 315-824-1100

Phone +1 315-682-6600

Phone +1 315-470-8401

Phone +1 315-765-8448

Phone +1 315-449-3800

Phone +1 317-476-2323

Phone +1 315-445-2701

Phone +1 315-470-7364

Phone +1 315-470-7997

Phone +1 315-479-5070

Phone +1 315-802-2601

Phone +1 315-701-2550

DOS Process Agent

Name Role Address
CROUSE MEDICAL PRACTICE, PLLC DOS Process Agent 739 IRVING AVENUE, SUITE 340, ATTN: EXECUTIVE DIRECTOR, SYRACUSE, NY, United States, 13210

National Provider Identifier

NPI Number:
1639559305

Authorized Person:

Name:
SETH KRONENBERG
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
3154752357

Form 5500 Series

Employer Identification Number (EIN):
800548096
Plan Year:
2012
Number Of Participants:
116
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
89
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
89
Sponsors Telephone Number:

History

Start date End date Type Value
2010-10-12 2024-06-10 Address ATT: EXECUTIVE DIRECTOR, 730 SOUTH CROUSE AVENUE S 204, SYRACUSE, NY, 13210, USA (Type of address: Service of Process)
2010-02-16 2010-10-12 Address ATTN: PRESIDENT, 736 IRVING AVENUE, SYRACUSE, NY, 13210, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240610002358 2024-06-10 BIENNIAL STATEMENT 2024-06-10
170821006126 2017-08-21 BIENNIAL STATEMENT 2016-02-01
120403002256 2012-04-03 BIENNIAL STATEMENT 2012-02-01
101012000475 2010-10-12 CERTIFICATE OF AMENDMENT 2010-10-12
100511000882 2010-05-11 CERTIFICATE OF PUBLICATION 2010-05-11

Tax Exempt

Employer Identification Number (EIN) :
80-0548096
In Care Of Name:
% PAUL J KRONENBERG
Classification:
Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Ruling Date:
2014-06
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State