Davis, Brenda
Davis, Brenda is an individual health care provider with primary practice located at 2212 Penfield Rd Ste 200 , Penfield NY 14526-1756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Davis, Brenda can be contacted via phone (585) 598-8555.Contact Information
Primary practice address
2212 Penfield Rd Ste 200
Penfield NY 14526-1756
Phone: (585) 598-8555
Fax: (585) 388-0174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 208525 | New York |
Profile Details
| NPI number | 1073537049 |
|---|---|
| LBN Legal business name | Davis, Brenda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 3rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073537049 | NPPES |
| New York | MEDICAID | 02648662 |
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