Individual
DR. TAYLOR MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1300 ULSTER AVE STE 122, KINGSTON, NY 12401-1571
(184) 533-6587
Mailing address
51 CLARENDON AVE, KINGSTON, NY 12401-2136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009365
NY
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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