Individual provider · Type 1 NPI

Jerome Alfred Davis, MD

Specialist · Plattsburgh, NY

NPI number 1003039975 Active

Practice location

101 Broad St
Plattsburgh, NY 12901-2637

Call (518) 564-2187 Map

Fax (518) 564-2188

Mailing address

52 Cooper Dr
Plattsburgh, NY 12901-5302

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X60-100430 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003039975

Jerome Alfred Davis, MD's National Provider Identifier is 1003039975, issued on Apr 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plattsburgh, NY. The record was last updated on Jul 8, 2007.