Individual
MARK DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
449 MAIN ST, ONEONTA, NY 13820-2028
(607) 432-5680
Mailing address
449 MAIN ST, ONEONTA, NY 13820-2028
(607) 432-5680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
220857
NY
Other
Enumeration date
02/23/2006
Last updated
01/25/2012
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