Individual
DR. WILLIAM L. DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 ROUTE 59, AIRMONT, NY 10952
(845) 356-2900
(845) 356-7797
Mailing address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 262-5313
(845) 262-5330
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
213531
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA07797000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01948512
—
NY
01
—
0D1365
HEALTHNET
NY
01
—
132721370
TAX ID#
NY
01
—
200037035
RAILROAD MEDICARE
NY
01
—
2176547
AETNA HMO
NY
01
—
2695H1
EMPIRE BCBS (STONY POINT)
NY
01
—
2695H2
EMPIRE BCBS (MONROE)
NY
01
—
2695H3
EMPIRE BCBS (AIRMONT)
NY
01
—
361012
MVP (MONROE)
NY
01
—
5902684
GHI PPO
NY
01
—
5956750
AETNA PPO
NY
01
—
P1310314
OXFORD
NY
Enumeration date
06/13/2005
Last updated
02/29/2016
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