Individual
MARVIN DAVIDOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-5925
(518) 926-5917
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
164072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01427485
—
NY
01
—
P00776448
RR MEDICARE
NY
Enumeration date
10/19/2005
Last updated
06/17/2021
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