Kenneth H. Davidson, Md, Pc

LBN: Kenneth H. Davidson, Md, Pc
Kenneth H. Davidson, Md, Pc is an health care organization with primary practice located at 1415 Portland Ave Suite 350, Rochester NY 14621-3038. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Kenneth H. Davidson, Md, Pc can be contacted via phone (585) 426-9278, or through Davidson, Kenneth via phone (585) 426-9278.

Contact Information

Primary practice address
1415 Portland Ave Suite 350 Rochester NY 14621-3038
Phone: (585) 426-9278
Fax: (585) 338-2738
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Kenneth Doctor of Medicine (MD)
Phone: (585) 426-9278

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 103663 New York

Profile Details

NPI number 1457547184
LBN Legal business name Kenneth H. Davidson, Md, Pc
DBA Doing business as
Authorized official Davidson, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2007
Last updated Oct 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457547184 NPPES
Other Y019296 CHAMPUS
MEDICAID 00450853 CHAMPUS
Other 10453 CHAMPUS
Other 4273339 CHAMPUS
Other 9913 CHAMPUS
Other PO10103663 CHAMPUS
Other 005002871 CHAMPUS
Other 005002871 CHAMPUS
Other 07341 CHAMPUS
Other MD4426 CHAMPUS

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