Individual
MR. DAVID JAMES VARGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(609) 581-5303
(609) 631-6839
Mailing address
PO BOX 2000, EAST SYRACUSE, NY 13057-4500
(315) 446-0033
(315) 362-5284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26N010983200
NJ
367500000X
Certified Registered Nurse Anesthetist
649073
NY
367500000X
Certified Registered Nurse Anesthetist
RN352802L
PA
Other
Enumeration date
04/17/2006
Last updated
04/12/2013
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