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Ira Davis, Md, Pllc
Procedural Dermatology Physician in Staten Island, New York
NPI 1750410759

Ira Davis, Md, Pllc is a Procedural Dermatology Physician based in Hartsdale, NY and is specialized in Procedural Dermatology. Ira Davis, Md, Pllc practices in Staten Island, NY. The NPI Number for Ira Davis, Md, Pllc is 1750410759 and holds a License No. 182268 (New York).

The current practice location address for Ira Davis, Md, Pllc is 2627 Hylan Blvd # C, Staten Island, NY and can be reached out via phone at 718-477-4022 and via fax at 718-698-9573.

Location: 2627 Hylan Blvd # C, Staten Island, NY, 10530-1832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750410759
Provider Name
Ira Davis, Md, Pllc
Credential
Provider Entity Type
Organization
Address
2627 Hylan Blvd # C, Staten Island, NY, 10530-1832
Phone Number
718-477-4022
Fax Number
718-698-9573
Provider Enumeration Date
03/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P2869871 01 NY OXFORD ID#
3K2111 01 NY BC
P00221021 01 NY RR MCR
OH4223 01 NY HEALTHNET
institution
Provider Business Practice Location Address Details
Address
2627 Hylan Blvd # C
City
Staten Island
State
New York
Zip
10314
Phone Number
718-477-4022
Fax Number
718-698-9573
person
Provider Business Mailing Address Details
Address
2627 Hylan Blvd # C
City
Staten Island
State
New York
Zip
10314
Phone Number
718-477-4022
Fax Number
718-698-9573
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
182268 (New York)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
182268 (New York)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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