Healthcare Provider Details

I. General information

NPI: 1275222028
Provider Name (Legal Business Name): EMILY SARAH DAVIS MD, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E 25TH ST # 301
NEW YORK NY
10010-2945
US

IV. Provider business mailing address

51 E 25TH ST # 301
NEW YORK NY
10010-2945
US

V. Phone/Fax

Practice location:
  • Phone: 212-598-0331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number342555-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: