Paul, David Andrew
Paul, David Andrew is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum NY 13602-5438. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Paul, David Andrew can be contacted via phone (315) 772-4025.Contact Information
Primary practice address
11050 Mount Belvedere Blvd Usa Meddac/Credentials
Fort Drum NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV007347-1 | New York |
Profile Details
| NPI number | 1063664720 |
|---|---|
| LBN Legal business name | Paul, David Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2008 |
| Last updated | Oct 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063664720 | NPPES |
| New York | Other | VADOOO | US ARMY |
Popular Providers
-
Brencher, Holger Leonard
Usa Meddac Optometry Clinic 11050 Mt Belvedere Blvd, Fort Drum NY 13602-5004 -
Rosenberg, Harrison Leigh
301 Bridge Plz N , Fort Lee NJ 07024-5059 -
Conway, Janet M
5250 New Jersey Ave , Fort Dix NJ 08640-5017 -
Guzman, Eric Rafael
Usa Meddac/Credentials 11050 Mt Belvedere Blvd, Fort Drum NY 13602-5004 -
Livingston, Gregory Laurence
10501 S. Riva Ridge , Fort Drum NY 13602 -
Botsacos, Michelle L
1562 Lemoine Ave Ste 3 , Fort Lee NJ 07024-5652 -
Medley, Mark Joseph
Usa Meddac Fort Drum 11050 Mt. Belvedere Blvd., Fort Drum NY 13602 -
Joo, Evan Gee Young
215 Main St , Fort Lee NJ 07024-5701