MEDICARE: DR. DAVID A CARRIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	187687	NY

General Provider Information

NPI Number	:	1417955519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A CARRIER M.D.

Provider Business Mailing Address
First Line	:	20 HAGEN DR
Second Line	:	SUITE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2657
Country	:	US
Telephone Number	:	585-267-4031
Fax Number	:	585-267-4037

Provider Business Practice Location Address
First Line	:	20 HAGEN DR
Second Line	:	SUITE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2657
Country	:	US
Telephone Number	:	585-267-4031
Fax Number	:	585-267-4037

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	04/27/2011

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