Individual
DAVID MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7411
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200400380
NC
207P00000X
Emergency Medicine Physician
Primary
256983
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137XX
—
NC
05
—
N00389
—
SC
Enumeration date
07/13/2006
Last updated
06/27/2013
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