Provider Demographics
NPI:1275772782
Name:DAVIDSON, ARTHUR T JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:T
Last Name:DAVIDSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:865 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-6403
Mailing Address - Country:US
Mailing Address - Phone:212-927-9059
Mailing Address - Fax:
Practice Address - Street 1:514 VISCHER FERRY RD
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065
Practice Address - Country:US
Practice Address - Phone:518-709-0286
Practice Address - Fax:212-208-6828
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-08
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-00917207LP2900X
NJ25MA08361100207LP2900X
NY136124-1207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine