IRA DAVIS, MD, PLLC
Osteopathic Medicine in Staten Island, NY

License number
New York 182268
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
License number
New York 182268
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: MRS. WENDY MANN
Title: BILLER
Phone: (914) 774-2478
Address
Address 2
2627 Hylan Blvd #, Staten Island, NY 10314
280 N Central Ave SUITE 114, Hartsdale, NY 10530
National Provider ID: 1750410759
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IRA DAVIS, M.D. PLLC

Ira Davis, Hartsdale, NY 10530

Registration:
Sep 21, 2001
State ID:
2682423
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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