Davidov, Adi

Davidov, Adi is an individual health care provider with primary practice located at 440 Seaview Ave , Staten Island NY 10305-3401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Davidov, Adi can be contacted via phone (718) 226-6550.

Contact Information

Primary practice address
440 Seaview Ave Staten Island NY 10305-3401
Phone: (718) 226-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 212520 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 212520 New York

Profile Details

NPI number 1356324677
LBN Legal business name Davidov, Adi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jan 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356324677 NPPES
New York MEDICAID 02568707

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