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Organization

EDWIN A. DAVISON, JR.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN A DAVISON JR. (PHYSICIAN)
(518) 584-5821
Entity
Organization

Contact information

Practice address
615 MAPLE AVE, STE 3, SARATOGA SPRINGS, NY 12866-5632
(518) 584-5821
(518) 583-9404
Mailing address
615 MAPLE AVE, STE 3, SARATOGA SPRINGS, NY 12866-5632
(518) 584-5821
(518) 583-9404

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
182490
NY

Other

Enumeration date
12/10/2008
Last updated
02/01/2010
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