Provider Demographics
NPI:1629087697
Name:DAVIES, ALISON K (RNC-NP)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:K
Last Name:DAVIES
Suffix:
Gender:F
Credentials:RNC-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203
Mailing Address - Country:US
Mailing Address - Phone:518-489-7439
Mailing Address - Fax:518-489-1768
Practice Address - Street 1:6 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203
Practice Address - Country:US
Practice Address - Phone:518-489-7439
Practice Address - Fax:518-489-1768
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYF4202221207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00852837Medicaid
NY00852837Medicaid
P74936Medicare UPIN