Provider Demographics
NPI:1457337388
Name:GARSON, DAVID S (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:GARSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:60 MAPLE RD
Mailing Address - Street 2:STE 1
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2917
Mailing Address - Country:US
Mailing Address - Phone:716-626-5250
Mailing Address - Fax:716-332-2218
Practice Address - Street 1:60 MAPLE RD
Practice Address - Street 2:STE 1
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2917
Practice Address - Country:US
Practice Address - Phone:716-626-5250
Practice Address - Fax:716-332-2218
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2013-12-09
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Provider Licenses
StateLicense IDTaxonomies
NY166788207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040426003595OtherFIDELIS
NY100013188OtherRAILROAD MEDICARE
NY2400036OtherGHI
NY01241487Medicaid
NY2303610OtherINDEPENDENT HEALTH
NY4273203OtherAETNA
NY00010060501OtherUNIVERA
NY000511036002OtherBLUE CROSS OF WNY
NY153011BTOtherPREFERRED CARE
NY2303610OtherINDEPENDENT HEALTH
NYE75966Medicare UPIN