Jerome Alfred Davis, M.D.

Specialist · Plattsburgh, NY

Individual Active NPI

NPI number 1003039975

Practice location

101 Broad St
Plattsburgh, NY 12901-2637
Phone
(518) 564-2187
Fax
(518) 564-2188

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NPI record

NPI
1003039975
Entity type
Individual (Type 1)
Enumeration date
April 10, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 60-100430 NY

Mailing address

52 Cooper Dr
Plattsburgh, NY 12901-5302
Phone
(518) 561-4791
Fax
(518) 564-2188

About Dr. Davis

Jerome Alfred Davis, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 101 Broad St, Plattsburgh, NY 12901-2637. The NPI number 1003039975 was assigned on April 10, 2007 and the record was last updated on July 8, 2007.

Dr. Davis lists a license in the registry: #60-100430 (NY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerome Alfred Davis, M.D.?

The NPI number is 1003039975.

What is the phone number of Dr. Davis?

The phone number listed for the practice location is (518) 564-2187.

Where is Dr. Davis located?

101 Broad St, Plattsburgh, NY 12901-2637.

What is the taxonomy code for Dr. Davis?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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