MEDICARE: NANCY A. GIRARD DO PC

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	207Q00000X	Family Medicine Physician	188587	NY

General Provider Information

NPI Number	:	1396929972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY A. GIRARD DO PC

Provider Business Mailing Address
First Line	:	2 MARKET ST
Second Line	:
City	:	ALEXANDRIA BAY
State	:	NY
Zip	:	13607-1317
Country	:	US
Telephone Number	:	315-482-3816
Fax Number	:	315-482-6265

Provider Business Practice Location Address
First Line	:	2 MARKET ST
Second Line	:
City	:	ALEXANDRIA BAY
State	:	NY
Zip	:	13607-1317
Country	:	US
Telephone Number	:	315-482-3816
Fax Number	:	315-482-6265

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NANCY A GIRARD
Credential	:	DO
Telephone Number	:	315-482-3816

Provider Enumeration Date	:	12/19/2007
Last Update Date	:	12/19/2007

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