Individual
DAVID M GIRARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
716 JAMES ST, SYRACUSE, NY 13203
(315) 472-4467
(315) 472-0197
Mailing address
824 FRANKLIN PARK DR., EAST SYRACUSE, NY 13057
(315) 446-1288
(315) 446-2210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUY005152-1
NY
152W00000X
Optometrist
VUT005152-1
NY
152WC0802X
Corneal and Contact Management Optometrist
TUY005152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605509
—
NY
01
—
1295723534
GROUP PRACTICE NPI
NY
Enumeration date
09/27/2006
Last updated
01/13/2014
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