Doctor Name: | DR. GREGORY F. DAVIES |
NPI Number: | 1043206923 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | N003180 |
Business Practice Address: | 175 Jericho Tpke Suite 300 Syosset, NY - 117914532 |
Business Phone Number: | 5164967676 |
Business Fax Number: | 5164960422 |
Mailing Address: | 175 Jericho Tpke, Suite 300 SYOSSET |
State: | NY |
Postal Code: | 117914532 |
Phone Number: | 5164967676 |
Fax Number: | 5164960422 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 09/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | N003180 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |