Individual
HARRY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 PARK ST, ELIZABETHTOWN COMMUNITY HOSPITAL, ELIZABETHTOWN, NY 12932
(518) 873-6896
(518) 873-6578
Mailing address
PO BOX 277, ELIZABETHTOWN COMMUNITY HOSPITAL, ELIZABETHTOWN, NY 12932
(518) 873-6377
(518) 873-6578
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
F8075
TX
207Q00000X
Family Medicine Physician
Primary
1550291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354274
—
NY
Enumeration date
09/09/2005
Last updated
11/09/2007
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