Individual
ANDREW ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1203273
NY
363AS0400X
Surgical Physician Assistant
Primary
029644
NY
Other
Enumeration date
01/13/2023
Last updated
09/01/2024
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