MEDICARE: LINDSAY DAVIS CRNA

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	367500000X	Certified Registered Nurse Anesthetist	693171	NY

General Provider Information

NPI Number	:	1649160631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY DAVIS CRNA

Provider Business Mailing Address
First Line	:	318 WILLOWBROOK RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-1970
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 SEAVIEW AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3436
Country	:	US
Telephone Number	:	718-226-9000
Fax Number	:

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	04/07/2026

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