Individual
DR. PAUL GREGORY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 MIDDLE SETTLEMENT ROAD, SUITE 208, NEW HARTFORD, NY 13413
(315) 797-3430
(315) 624-7383
Mailing address
4401 MIDDLE SETTLEMENT ROAD, SUITE 208, NEW HARTFORD, NY 13413
(315) 797-3430
(315) 624-7383
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172748
NY
2086S0127X
Trauma Surgery Physician
172748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01249678
—
NY
Enumeration date
10/16/2006
Last updated
02/27/2012
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