Davis, Monica Agnes

Davis, Monica Agnes is an individual health care provider with primary practice located at 5547 W Main St , Verona NY 13478-3426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davis, Monica Agnes can be contacted via phone (315) 363-3482.

Contact Information

Primary practice address
5547 W Main St Verona NY 13478-3426
Phone: (315) 363-3482
Fax: (315) 363-1957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003351 New York

Profile Details

NPI number 1013948637
LBN Legal business name Davis, Monica Agnes
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 22nd, 2015 - about 10 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 1013948637 NPPES
New York Other 003351 P.A. LICENSE
New York MEDICAID 01622444 P.A. LICENSE

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