Organization
AMY J. DAVISON, D.O.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY JO DAVISON D.O. (DIRECTOR)
(518) 567-9977
Entity
Organization
Contact information
Practice address
197 COUNTY ROUTE 10, GERMANTOWN, NY 12526-5022
(518) 567-9977
Mailing address
197 COUNTY ROUTE 10, GERMANTOWN, NY 12526-5022
(518) 567-9977
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
243611
NY
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
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