MEDICARE: DR. ANNE DAVIDSON MD

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	207RR0500X	Rheumatology Physician	180901	NY

General Provider Information

NPI Number	:	1083715833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE DAVIDSON MD

Provider Business Mailing Address
First Line	:	6 MILL CT
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1527
Country	:	US
Telephone Number	:	914-591-5166
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 SAINT NICHOLAS AVE
Second Line	:	ROOM 918
City	:	NEW YORK
State	:	NY
Zip	:	10032-3802
Country	:	US
Telephone Number	:	212-851-4571
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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