Gordon C Davis, D.O. Valid NPI

Individual provider · Family Medicine Physician · Woodhaven, NY

NPI

1124153101

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

171745 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-22

Last updated

2024-04-19