Provider Demographics
NPI:1770204604
Name:PHAIR, DAVID JAMES II (RESPIRATORY THERAPIS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:PHAIR
Suffix:II
Gender:M
Credentials:RESPIRATORY THERAPIS
Other - Prefix:
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Mailing Address - Street 1:9824 STATE ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:WESTERNVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13486-2128
Mailing Address - Country:US
Mailing Address - Phone:520-307-8894
Mailing Address - Fax:
Practice Address - Street 1:800 IRVING AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2716
Practice Address - Country:US
Practice Address - Phone:607-346-2497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009697-012279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care