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DR. JEROME ALFRED DAVIS M.D.
NPI 1003039975
Specialist in Plattsburgh, NY

Active since April 10, 2007
101 BROAD ST, PLATTSBURGH, NY 12901(518) 564-2187(518) 564-2188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerome Alfred Davis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEROME ALFRED DAVIS M.D. (NPI 1003039975) is an individual specialist in Plattsburgh, New York, licensed in New York (60-100430) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1003039975
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JEROME ALFRED DAVISCredential: M.D.
Location Address101 BROAD STPlattsburgh, NY 12901-2637
Mailing Address52 Cooper DrPlattsburgh, NY 12901-5302 · (518) 561-4791 · Fax (518) 564-2188
Phone(518) 564-2187
Fax(518) 564-2188
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003039975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 60-100430
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
101 BROAD ST, Plattsburgh, NY 12901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LACI CHARETTE PSY.D.
Psychologist (School)
101 BROAD ST
PLATTSBURGH, NY 12901
Clinton County (518) 564-3385
DR. SUZANNE MARY HUNGERFORD PH.D., CCC-SLP
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
MRS. LISA ANN VICENCIO ATC
Specialist/Technologist (Athletic Trainer)
101 BROAD ST
PLATTSBURGH, NY 12901
Clinton County (518) 564-4152
MRS. VERA S DELORME M.A.
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
DR. RAYMOND ANTHONY DOMENICO PH.D., CCC-SLP
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
PLATTSBURGH STATE UNIVERSITY SPEECH AND HEARING CENTER
Clinic/Center (Hearing and Speech)
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
DR. PATRICK COPPENS PH.D., CCC-SLP
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
PLATTSBURGH STATE TBI
Case Management
101 BROAD ST, PSYCHOLOGY DEPT
PLATTSBURGH, NY 12901
Clinton County (518) 564-3137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Davis's NPI number?

The NPI number for Jerome Davis is 1003039975. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Jerome Davis located?

Jerome Davis practices at 101 Broad St, Plattsburgh, NY 12901. The listed phone number is (518) 564-2187.

What is Jerome Davis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerome Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.