# AMY J. DAVISON, D.O.,LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124298005
- **Authorized official:** DR. AMY JO DAVISON D.O. (DIRECTOR)
- **Authorized official phone:** (518) 567-9977

## Contact information

- **Practice address:** 197 COUNTY ROUTE 10, GERMANTOWN, NY 12526-5022
- **Practice address phone:** (518) 567-9977
- **Mailing address:** 197 COUNTY ROUTE 10, GERMANTOWN, NY 12526-5022
- **Mailing address phone:** (518) 567-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 243611 | NY | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 243611 | NY | — |
| 208D00000X | General Practice Physician | 243611 | NY | — |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 03/06/2008