MEDICARE: DR. DAVID I GARFINKEL OD

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	152W00000X	Optometrist	TUV0033551	NY

General Provider Information

NPI Number	:	1073571535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID I GARFINKEL OD

Provider Business Mailing Address
First Line	:	2921 ERIE BLVD EAST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224
Country	:	US
Telephone Number	:	315-445-7465
Fax Number	:	315-445-7675

Provider Business Practice Location Address
First Line	:	WILSON SQUARE 3039 ROUTE 50
Second Line	:	EMPIRE VISION CENTERS
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866
Country	:	US
Telephone Number	:	518-580-1117
Fax Number	:	518-580-1311

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	10/19/2007

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