IRA DAVIS MD PLLC NPI 1376679936

NPI Information

  • NPI: 1376679936
  • Provider Name: IRA DAVIS, MD, PLLC
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Organization
  • Address: 280 N CENTRAL AVE
    SUITE 114
    HARTSDALE, NY
    ZIP 10530
  • Phone: (914) 288-0500

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NPI Details

IRA DAVIS, MD, PLLC is a mohs-micrographic surgery dermatology in Hartsdale, NY. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. IRA DAVIS, MD, PLLC NPI is 1376679936. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

280 N CENTRAL AVE
SUITE 114
HARTSDALE, NY
ZIP 10530-832
Phone: (914) 288-0500
Fax: (914) 288-0260

The provider's authorized official is Ira C Davis .
The authorized official title is Physician and has the following contact phone number (914) 288-0500.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology182268NEW YORKNo
2207ND0101XDermatologyMOHS-Micrographic Surgery182268NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WLP692MEDICARE PINNEW YORK
2P00221021OTHERRR MCR
3E86323MEDICARE UPINNEW YORK
482F471MEDICARE PINNEW YORK
52K9111OTHERNEW YORKWEST BLUECROSS
6OH4223OTHERNEW YORKHEALTHNET
7P2869871OTHERNEW YORKOXFORD

What is NPI?

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This page was last updated on: 11/21/2025

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