Individual
DR. DAVID ANDREW PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS, FORT DRUM, NY 13602-5438
(315) 772-4025
(315) 772-9498
Mailing address
4145 COYE RD, JAMESVILLE, NY 13078-6505
(315) 657-4044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007347-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VADOOO
US ARMY
NY
Enumeration date
10/14/2008
Last updated
10/14/2008
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