Davison, Edwin A

Davison, Edwin A is an sole proprietor health care provider with primary practice located at 615 Maple Ave Suite 3, Saratoga Springs NY 12866-5632. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davison, Edwin A can be contacted via phone (518) 584-5821.

Contact Information

Primary practice address
615 Maple Ave Suite 3 Saratoga Springs NY 12866-5632
Fax: (518) 583-9404
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 182490 New York

Profile Details

NPI number 1689787905
LBN Legal business name Davison, Edwin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Mar 28th, 2011 - about 13 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 1689787905 NPPES
New York MEDICAID 01410975

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