Davis, Jessica G

Davis, Jessica G is an individual health care provider with primary practice located at 428 E 72Nd St , New York NY 10021-4635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Davis, Jessica G can be contacted via phone (212) 746-1496.

Contact Information

Primary practice address
428 E 72Nd St New York NY 10021-4635
Phone: (212) 746-1496
Fax: (212) 746-8893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 089706 New York

Profile Details

NPI number 1043300221
LBN Legal business name Davis, Jessica G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 3rd, 2011 - about 15 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 1043300221 NPPES
New York MEDICAID 01139651

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