Healthcare Provider Details

I. General information

NPI: 1801882063
Provider Name (Legal Business Name): DAVID KARANDY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 TURIN RD BLDG 2 SUITE 3
ROME NY
13440-1900
US

IV. Provider business mailing address

PO BOX 2003
EAST SYRACUSE NY
13057-4503
US

V. Phone/Fax

Practice location:
  • Phone: 315-337-0202
  • Fax: 315-337-8188
Mailing address:
  • Phone: 315-446-3904
  • Fax: 315-445-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number203549
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: