Healthcare Provider Details

I. General information

NPI: 1427973833
Provider Name (Legal Business Name): CARA LYNN A DAVIES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 VESTAL PKWY E
BINGHAMTON NY
13902-4400
US

IV. Provider business mailing address

428 WOLF LAKE RD
ROCK HILL NY
12775-6413
US

V. Phone/Fax

Practice location:
  • Phone: 845-701-1220
  • Fax:
Mailing address:
  • Phone: 845-701-1220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: