Individual
BARBARA A DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(845) 676-3663
(845) 676-3665
Mailing address
245 LOWER MAIN ST, ANDES, NY 13731
(845) 676-3663
(845) 676-3665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
005210-1
NY
363AM0700X
Medical Physician Assistant
Primary
MA051782
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005210-1
LICENSE
NY
01
—
MA051782
LICENSE
PA
Enumeration date
09/12/2006
Last updated
04/24/2014
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