Individual
MARTIN A DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(518) 834-9310
(518) 834-1148
Mailing address
1479 HIGHLAND RD, KEESEVILLE, NY 12944-2330
(518) 834-9310
(518) 834-1148
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
201408
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
201408
NY
Other
Enumeration date
08/07/2006
Last updated
12/16/2009
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