Samuel Davis, D.C.
Individual provider Active NPI Chiropractor · Lake Peekskill, NY
NPI 1831339977 · NPPES record last updated Mar 3, 2009
Key facts
- NPI
- 1831339977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X005318-1 (NY)
- Practice address
- 185 Lake Dr
Lake Peekskill, NY 10537-1344 - Phone
- (845) 284-2063
- NPI assigned
- Mar 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005318-1 | NY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005318-1 | NY | Yes |
Addresses
Primary practice location
185 Lake Dr
Lake Peekskill, NY 10537-1344
Mailing address
185 Lake Dr
Lake Peekskill, NY 10537-1344
Other providers in Lake Peekskill, NY
- Nelson Adler
- Susanne E Berman
- BHP Transportation Inc.
- Beth Marianne Cofini-Martin
- Lisa Cozzi
- Diana Duma
- Kimberly Page Hance
- Marie Isabella Holland
- James Earl La Voy
- Alison Nicole Loewy
All providers in Lake Peekskill, NY · Chiropractor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.