Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N003180 | NY |
Y | 222Z00000X | Podiatrist | N003180 | NY |
N | 2081S0010X | Sports Medicine | N003180 | NY |
N | 213ES0000X | Sports Medicine | N003180 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N003180 | NY |
NPI | 1043206923 |
---|---|
Provider Name | Dr. Gregory F. Davies |
First Address | Syosset, NY 11791-4532 |
Second Address | Syosset, NY 11791-4532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 23/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00706863 | (05) | NY |
T51062 | (02) | NY |