Lorraine E. Davis MD
Organization Active NPI Family Medicine Physician · Howes Cave, NY
NPI 1912100736 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1912100736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 145901 (NY)
- Legal business name
- LORRAINE E. DAVIS MD
- Practice address
- 109 Sidney Road
Howes Cave, NY 12092 - Phone
- (518) 868-2026
- Fax
- (518) 868-2027
- NPI assigned
- Jun 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lorraine E Davis, MD
- Title
- Owner
- Phone
- (518) 868-2026
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 145901 | NY | Yes |
Addresses
Primary practice location
109 Sidney Road
Howes Cave, NY 12092
Mailing address
109 Sidney Road
Howes Cave, NY 12092
Phone (518) 868-2026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00597071 | Medicaid | NY | |
| 66E471 | Other | NY | EMPIRE BC-BS |
| 993221 | Other | NY | MVP |
Other providers in Howes Cave, NY
All providers in Howes Cave, NY · Family Medicine Physician 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 Aug 22, 2020. 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.