Davis, Harry A

Davis, Harry A is an individual health care provider with primary practice located at 75 Park St Elizabethtown Community Hospital, Elizabethtown NY 12932. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Harry A can be contacted via phone (518) 873-6896.

Contact Information

Primary practice address
75 Park St Elizabethtown Community Hospital Elizabethtown NY 12932
Phone: (518) 873-6896
Fax: (518) 873-6578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X F8075 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1550291 New York

Profile Details

NPI number 1972597516
LBN Legal business name Davis, Harry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Nov 9th, 2007 - about 17 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 1972597516 NPPES
New York MEDICAID 00354274

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