Individual
DR. ALLAN E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1111 FRANKLIN AVE, GARDEN CITY, NY 11530-1617
(516) 248-7528
Mailing address
932 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2522
(516) 437-2120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10451
COLE MANAGED VISION PROV#
NY
Enumeration date
06/24/2005
Last updated
12/02/2018
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