Harry A Davis, MD | |
75 Park St, Elizabethtown Community Hospital, Elizabethtown, NY 12932 | |
(518) 873-6896 | |
(518) 873-6578 |
Full Name | Harry A Davis |
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Gender | Male |
Speciality | Family Medicine |
Location | 75 Park St, Elizabethtown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972597516 | NPI | - | NPPES |
00354274 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | F8075 (Texas) | Secondary |
207Q00000X | Family Medicine | 1550291 (New York) | Primary |
Entity Name | Eagle Butte Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
Mailing Address | Practice Location Address |
---|---|
Harry A Davis, MD Po Box 277, Elizabethtown Community Hospital, Elizabethtown, NY 12932 Ph: (518) 873-6377 | Harry A Davis, MD 75 Park St, Elizabethtown Community Hospital, Elizabethtown, NY 12932 Ph: (518) 873-6896 |
Mary Katharine Halloran, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 66 Park Street, Elizabethtown, NY 12932 Phone: 518-873-6377 | |
Vanessa Desmarais, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 66 Park Street, Elizabethtrown Health Center, Elizabethtown, NY 12932 Phone: 518-895-4050 |