Girardi, David M

Girardi, David M is an sole proprietor health care provider with primary practice located at 716 James St , Syracuse NY 13203. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Girardi, David M can be contacted via phone (315) 472-4467.

Contact Information

Primary practice address
716 James St Syracuse NY 13203
Phone: (315) 472-4467
Fax: (315) 472-0197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005152-1 New York
Eye and Vision Services Providers / Optometrist 152W00000X TUY005152-1 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TUY005152 New York

Profile Details

NPI number 1558452516
LBN Legal business name Girardi, David M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jan 13th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558452516 NPPES
New York MEDICAID 01605509
New York Other 1295723534

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