| Doctor Name: | MONICA AGNES DAVIS |
| NPI Number: | 1013948637 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 003351 |
| Business Practice Address: | 5547 W Main St Verona, NY - 134783426 |
| Business Phone Number: | 3153633482 |
| Business Fax Number: | 3153631957 |
| Mailing Address: | 5547 W Main St, VERONA |
| State: | NY |
| Postal Code: | 134783426 |
| Phone Number: | 3153633482 |
| Fax Number: | 3153631957 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 003351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |