Lorraine E. Davis Md | |
109 Sidney Road Howes Cave NY 12092 | |
(518) 868-2026 | |
(518) 868-2027 |
Full Name | Lorraine E. Davis Md |
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Speciality | Family Medicine |
Location | 109 Sidney Road, Howes Cave, New York |
Authorized Official Name and Position | Lorraine E Davis (OWNER) |
Authorized Official Contact | 5188682026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lorraine E. Davis Md 109 Sidney Road Howes Cave NY 12092 Ph: (518) 868-2026 | Lorraine E. Davis Md 109 Sidney Road Howes Cave NY 12092 Ph: (518) 868-2026 |
NPI Number | 1912100736 |
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Provider Enumeration Date | 06/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912100736 | NPI | - | NPPES |
00597071 | Medicaid | NY | |
66E471 | Other | NY | EMPIRE BC-BS |
993221 | Other | NY | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 145901 (New York) | Primary |