Davis, George Berton
Davis, George Berton is an individual health care provider with primary practice located at 133 Park Street , Malone NY 12953-0729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, George Berton can be contacted via phone (518) 483-3000.Contact Information
Primary practice address
133 Park Street
Malone NY 12953-0729
Phone: (518) 483-3000
Fax: (518) 481-2818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 085787 | New York |
Profile Details
| NPI number | 1255597142 |
|---|---|
| LBN Legal business name | Davis, George Berton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Jul 31st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255597142 | NPPES |
| New York | MEDICAID | 00354114 |
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