Andrew M G Davy MD PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

0189163 Issued in NY

Legal business name

ANDREW M G DAVY MD PC

Practice address

14809 Northern Blvd
1K
Flushing, NY 11354-4308

Phone

(718) 596-2824

Fax

(718) 596-2867

NPI assigned

Feb 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew M G Davy, MD

Title

Owner

Phone

(718) 596-2824

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1629317623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 S ORANGE AVE",
            "address_2": "314",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791715",
            "telephone_number": "718-596-2824",
            "fax_number": "718-596-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14809 NORTHERN BLVD",
            "address_2": "1K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544308",
            "telephone_number": "718-596-2824",
            "fax_number": "718-596-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M G DAVY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "DAVY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-596-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A207878",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "0189163",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.