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IRA DAVIS, MD, PLLC
NPI 1750410759
Dermatology - MOHS-Micrographic Surgery in Staten Island, NY

Active since March 05, 2007
2627 HYLAN BLVD # C, BOX 10, STATEN ISLAND, NY 10314(718) 477-4022(718) 698-9573 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ira Davis, Md, Pllc NPPES

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

IRA DAVIS, MD, PLLC (NPI 1750410759) is a healthcare organization registered as a mohs-micrographic surgery in Staten Island, New York and active in the NPI registry since March 2007. The organization lists Wendy Mann, Biller, as its authorized official.

NPPES Registry Identity

NPI1750410759
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameIRA DAVIS, MD, PLLC
Location Address2627 HYLAN BLVD # C, BOX 10Staten Island, NY 10314
Mailing Address280 N Central Ave, Suite 114Hartsdale, NY 10530-1832 · (914) 288-0500 · Fax (914) 288-0260
Phone(718) 477-4022
Fax(718) 698-9573
Organization SubpartNo
Authorized OfficialWendy MannBiller · (914) 774-2478
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 24, 2015
✔ NPI 1750410759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NY · 182268
Definition
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.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 182268 (NY)
2627 HYLAN BLVD # C, Staten Island, NY 10314
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Other Identifiers 7

OtherP00221021NY · Rr Mcr
Medicare UPINE86323NY
OtherOH4223NY · Healthnet
Medicare PIN82F472NY
Medicare PINWLP691NY
Other3K2111NY · Bc
OtherP2869871NY · Oxford Id#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Ira Davis, MD, PLLC's NPI number?

The NPI number for Ira Davis, MD, PLLC is 1750410759. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Ira Davis, MD, PLLC located?

Ira Davis, MD, PLLC is located at 2627 Hylan Blvd # C Box 10, Staten Island, NY 10314. The listed phone number is (718) 477-4022.

What is Ira Davis, MD, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Ira Davis, MD, PLLC was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.