MEDICARE: DR. DAVID J CIFRA DC

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	111N00000X	Chiropractor	X007173	NY

General Provider Information

NPI Number	:	1588653885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J CIFRA DC

Provider Business Mailing Address
First Line	:	2810 COURT ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13208-3216
Country	:	US
Telephone Number	:	315-454-0656
Fax Number	:	315-454-8382

Provider Business Practice Location Address
First Line	:	2810 COURT ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13208-3216
Country	:	US
Telephone Number	:	315-454-0656
Fax Number	:	315-454-8382

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	08/15/2008

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