Carol Denise Davis, D.O., MSPH

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

193982 Issued in NY

Practice address

30 Bell Avenue
Bldge 490 Omc Brookhaven National Laboratory
Upton, NY 11973

Phone

(631) 344-3760

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1821393620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELL AVENUE",
            "address_2": "BLDGE 490 OMC BNL",
            "city": "UPTON",
            "state": "NY",
            "postal_code": "11973",
            "telephone_number": "631-344-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELL AVENUE",
            "address_2": "BLDGE 490 OMC BROOKHAVEN NATIONAL LABORATORY",
            "city": "UPTON",
            "state": "NY",
            "postal_code": "11973",
            "telephone_number": "631-344-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROL",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.O., MSPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "193982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Science Associates
• Patricia Anne Edwards, ANP
• Eva Barbara Erens, M.D.
• Joseph P Falco, M.D.
• Fritz A. Henn, MD, PH.D

• Occupational Medicine Physician in Upton, NY
• Providers in Upton, NY by specialty
• Occupational Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.