| Gordon C Davis, DO | |
|
9601 Jamaica Ave Lowr Level, Woodhaven, NY 11421-2295 | |
| (718) 641-4900 | |
| (718) 641-4905 |
| Full Name | Gordon C Davis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9601 Jamaica Ave Lowr Level, Woodhaven, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124153101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 171745 (New York) | Primary |
| Entity Name | Boulevard Multispecialty Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730245366 PECOS PAC ID: 4880586502 Enrollment ID: O20040326001409 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon C Davis, DO 10149 Woodhaven Blvd, Ozone Park, NY 11416-2300 Ph: (718) 641-4900 | Gordon C Davis, DO 9601 Jamaica Ave Lowr Level, Woodhaven, NY 11421-2295 Ph: (718) 641-4900 |
Dr. Giovanni Marciano, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-805-0037 Fax: 718-849-3737 | |
Dr. Glenn J Muraca, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-805-0037 Fax: 718-849-3737 | |
Dr. Khurram Surani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8615 Forest Pkwy, Woodhaven, NY 11421 Phone: 718-846-1414 Fax: 718-849-0062 | |
Syed Rahman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89-12 Woodhaven Blvd, Woodhaven, NY 11421 Phone: 718-441-2640 Fax: 718-846-0904 |