SearchNew York104100000X

Martha Davis

NPI 1093447070 · on the registry since 2022 · sole proprietor

Practice

Address
569 Main St
Phoenix, NY 13135
Phone
(315) 383-9463
Fax
(315) 802-7670

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-28

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