Individual
DR. THOMAS DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
252 E MAIN ST, E ISLIP, NY 11730-2722
(631) 581-8828
(631) 581-0545
Mailing address
252 E MAIN ST, E ISLIP, NY 11730-2722
(631) 581-8828
(631) 581-0545
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00643389
—
NY
01
—
1528227907
DMERC NPI
NY
01
—
4398690001
DMERC IDENTIFIER
NY
Enumeration date
08/04/2005
Last updated
10/30/2010
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