Davis, M Colleen O'Neil

Davis, M Colleen O'Neil is an individual health care provider with primary practice located at 601 Elmwood Ave Box 655, Rochester NY 14642-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Davis, M Colleen O'Neil can be contacted via phone (585) 341-3015.

Contact Information

Primary practice address
601 Elmwood Ave Box 655 Rochester NY 14642-0001
Phone: (585) 341-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 178983 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 178983 New York

Profile Details

NPI number 1467468835
LBN Legal business name Davis, M Colleen O'Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 19th, 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 1467468835 NPPES
New York MEDICAID 01149155

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