Most Relevant Information
Provider Data
| NPI Number: | 1003325119 |
| Provider Name: | DAVID LEE FORD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2017 |
| Last Updated: | 09/21/2017 |
Provider Practice Location
375 W ONONDAGA ST
SYRACUSE
NY
132021888
Practice Location Phone/Fax
| Phone: | 3154782030 |
| Fax: |
Provider Mailing Location
524 TUSCARORA RD
CHITTENANGO
NY
130379731
Provider Mailing Phone/Fax
| Phone: | 5183685733 |
| Fax: |