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NPI Code Detail

MEDICARE: DAVID CAMPANILE MD

MEDICARE: DAVID CAMPANILE MD
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
1207L00000XAnesthesiology Physician180233NY
2207LP2900XPain Medicine (Anesthesiology) Physician180233NY

General Provider Information

NPI Number : 1174527063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CAMPANILE MD
Provider Business Mailing Address
First Line : PO BOX 2005
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-4505
Country : US
Telephone Number : 315-449-0513
Fax Number : 315-445-2936
Provider Business Practice Location Address
First Line : 4900 BROAD RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-2265
Country : US
Telephone Number : 315-492-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 09/11/2025

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