Healthcare Provider Details

I. General information

NPI: 1205749983
Provider Name (Legal Business Name): FRANK JAMES DAVIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N MAIN ST
ELMIRA NY
14901-2103
US

IV. Provider business mailing address

401 N MAIN ST
ELMIRA NY
14901-2103
US

V. Phone/Fax

Practice location:
  • Phone: 607-733-2399
  • Fax: 607-733-3006
Mailing address:
  • Phone: 607-733-2399
  • Fax: 607-733-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number000268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: