NPI 1750410759

Ira Davis, MD, PLLC

Organisation MOHS-Micrographic Surgery Physician Staten Island, NY

Practice location

Address: 2627 Hylan Blvd # C Box 10, Staten Island, NY 10314
Phone: (718) 477-4022
Fax: (718) 698-9573
Mailing address: 280 N Central Ave Suite 114, Hartsdale, NY 10530-1832

Authorised official

Name: Wendy Mann
Title: Biller
Phone: (914) 774-2478

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 182268 (NY)

Other Dermatology providers in New York →

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 182268 (NY)

Registry record

NPI: 1750410759
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 24 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.