NPI 1003039975

Jerome Alfred Davis, MD

Practitioner Specialist Plattsburgh, NY

Practice location

Address: 101 Broad St, Plattsburgh, NY 12901-2637
Phone: (518) 564-2187
Fax: (518) 564-2188
Mailing address: 52 Cooper Dr, Plattsburgh, NY 12901-5302

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 60-100430 (NY)

Other Specialist providers in New York →

Registry record

NPI: 1003039975
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2007
Record last updated: 8 Jul 2007

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.