Individual
BRENDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2212 PENFIELD RD STE 200, PENFIELD, NY 14526-1756
(585) 598-8555
(585) 388-0174
Mailing address
2212 PENFIELD RD STE 200, PENFIELD, NY 14526-1756
(585) 784-7848
(585) 388-0174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02648662
—
NY
Enumeration date
07/26/2006
Last updated
07/03/2023
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