Organization
DAVID J DAVIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN DAVIN M.D. (OWNER)
(315) 475-5864
Entity
Organization
Contact information
Practice address
1000 E GENESEE ST, SUITE 204, SYRACUSE, NY 13210-1892
(315) 475-5864
(315) 475-6879
Mailing address
1000 E GENESEE ST, SUITE 204, SYRACUSE, NY 13210-1892
(315) 475-5864
(315) 475-6879
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
138897
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
138897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00782641
—
NY
Enumeration date
05/30/2012
Last updated
06/29/2012
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