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NPI Code Detail

MEDICARE: TERESA MCDAVID

MEDICARE: TERESA MCDAVID
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
1207L00000XAnesthesiology Physician735582-01NY

General Provider Information

NPI Number : 1285576165
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA MCDAVID
Provider Business Mailing Address
First Line : 6 RUTLAND LN
Second Line :
City : MELVILLE
State : NY
Zip : 11747-2614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ TERESA MCDAVID ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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