MEDICARE: DR. STEPHEN ANTHONY DAVIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	150869	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487606190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ANTHONY DAVIS M.D.

Provider Business Mailing Address
First Line	:	454 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4011
Country	:	US
Telephone Number	:	718-382-3400
Fax Number	:	718-382-3420

Provider Business Practice Location Address
First Line	:	454 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4011
Country	:	US
Telephone Number	:	718-382-3400
Fax Number	:	718-382-3420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1699726315 — ADVANCED WOUND CARE MEDICAL PC
Practice Location Address:

454 AVENUE U
BROOKLYN, NY
11223-4011

Practice Phone: 718-382-3400
Practice Fax: 718-382-3420

1942253984 — DR. TSILIA SORINA M.D.
Practice Location Address:

454 AVENUE U
BROOKLYN, NY
11223-4011

Practice Phone: 718-382-3400
Practice Fax: 718-382-3420

1295788248 — ACCESS CARE SOLUTIONS PC
Practice Location Address:

454 AVENUE U
BROOKLYN, NY
11223-4011

Practice Phone: 718-382-3400
Practice Fax: 718-382-3420

1326299561 — EVERCARE MEDICAL PC
Practice Location Address:

454 AVENUE U
BROOKLYN, NY
11223-4011

Practice Phone: 718-382-3400
Practice Fax: 718-382-3420

1356627780 — ZOURA PHARMACY INC
Practice Location Address:

464 AVENUE U
BROOKLYN, NY
11223-4011

Practice Phone: 718-676-6445
Practice Fax: 718-676-6446

1205381704 — MS. NADEZHDA YEVDAYEVA PHARMD
Practice Location Address:

464 AVENUE U
BROOKLYN, NY
11223-4011

Practice Phone: 718-676-6445
Practice Fax:

Directions to “ DR. STEPHEN ANTHONY DAVIS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.