Davidson, Brooke Alison

Davidson, Brooke Alison is an individual health care provider with primary practice located at 26908 Independence Way , Evans Mills NY 13637-3300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davidson, Brooke Alison can be contacted via phone (315) 782-6900.

Contact Information

Primary practice address
26908 Independence Way Evans Mills NY 13637-3300
Phone: (315) 782-6900
Fax: (315) 782-2581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016929 New York

Profile Details

NPI number 1477989424
LBN Legal business name Davidson, Brooke Alison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2013
Last updated May 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477989424 NPPES
New York MEDICAID 01995615

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