Organization
IRA DAVIS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY MANN (BILLER)
(914) 774-2478
Entity
Organization
Contact information
Practice address
2627 HYLAN BLVD # C, BOX 10, STATEN ISLAND, NY 10314
(718) 477-4022
(718) 698-9573
Mailing address
280 N CENTRAL AVE, SUITE 114, HARTSDALE, NY 10530-1832
(914) 288-0500
(914) 288-0260
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
182268
NY
207NS0135X
Procedural Dermatology Physician
182268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K2111
BC
NY
01
—
OH4223
HEALTHNET
NY
01
—
P00221021
RR MCR
NY
01
—
P2869871
OXFORD ID#
NY
Enumeration date
03/05/2007
Last updated
07/24/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us