Stacy Marie Davison in Fayetteville - Clinical
Stacy Marie Davison - NPI 1245270800
Stacy Marie Davison is a Clinical in Fayetteville, New York. Stacy Marie Davison practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Marie Davison is 1245270800. The last update date is 2020-08-21.
Stacy Marie Davison's current location address is 600 Walnut St, Fayetteville, New York. You can contact this provider via phone number 3152432475. The mailing address for Stacy Marie Davison is 600 Walnut St, Fayetteville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Marie Davison |
|---|---|
| Address | 600 Walnut St, Fayetteville, New York |
| Phone Number | 3152432475 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1245270800 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2020-08-21 |
Provider Mailing Address Detail
| Address | 600 Walnut St |
|---|---|
| City | Fayetteville |
| State | New York (NY) |
| Post Code | 130662321 |
| Phone Number | 3152432475 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 072880-1 |
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What is the unique 10-digit identification code issued to Stacy Marie Davison by the Centers for Medicare & Medicaid Services?
The Stacy Marie Davison has been assigned the NPI (National Provider Identifier) 1245270800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Stacy Marie Davison's facilities are situated?
The facilities of Stacy Marie Davison are physically located at the following address: 600 Walnut St, Fayetteville, NY, 130662321.
What is the Stacy Marie Davison's area of specialization and corresponding taxonomy classification?
The Stacy Marie Davison's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245270800 to Stacy Marie Davison?
The Centers for Medicare & Medicaid Services originally issued the 1245270800 to Stacy Marie Davison on 2006-06-08.
When was the information related to Stacy Marie Davison most recently updated or refreshed?
The details pertaining to the Stacy Marie Davison, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-21.