Jerome Davis, M.D

NPI 1003039975 · on the registry since 2007 · sole proprietor

Practice

Address: 101 Broad St
Plattsburgh, NY 12901
Phone: (518) 564-2187
Fax: (518) 564-2188
Organisation at this address: Plattsburgh State Tbi
Suny Plattsburgh Nysacac Day
Plattsburgh State University
Suny Plattsburgh Nysadac Hcbs
Research Foundation Of State University Of N.Y.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York