Ira Davis, Md, Pllc

LBN: Ira Davis, Md, Pllc
Ira Davis, Md, Pllc is an health care organization with primary practice located at 2627 Hylan Blvd # C Box 10, Staten Island NY 10314. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Ira Davis, Md, Pllc can be contacted via phone (718) 477-4022, or through Mann, Wendy via phone (914) 774-2478.

Contact Information

Primary practice address
2627 Hylan Blvd # C Box 10 Staten Island NY 10314
Phone: (718) 477-4022
Fax: (718) 698-9573
Website:
Map and Directions
Authorized official contact:
Name: Mann, Wendy
Phone: (914) 774-2478

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 182268 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 182268 New York

Profile Details

NPI number 1750410759
LBN Legal business name Ira Davis, Md, Pllc
DBA Doing business as
Authorized official Mann, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 24th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750410759 NPPES
New York Other P2869871 OXFORD ID#
New York Other 3K2111 OXFORD ID#
New York Other P00221021 OXFORD ID#
New York Other OH4223 OXFORD ID#

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