National Provider Identifier
Kenneth H. Davidson, MD, PC
Kenneth H. Davidson, MD, PC is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 426-9278.
Profile Overview
- NPI
- 1457547184
- Provider Type
- Organization
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- September 17, 2007
- Last Updated
- October 09, 2013
Practice Location
- 1415 Portland Ave
- Suite 350
- Rochester, NY 14621-3038
Phone: (585) 426-9278
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1457547184
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Kenneth H. Davidson, MD, PC
- Mailing Street Address
- 1415 Portland Ave
- Mailing Address Line 2
- Suite 350
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3038
- Mailing Country
- US
- Mailing Phone
- (585) 426-9278
- Mailing Fax
- (585) 338-2738
- Practice Street Address
- 1415 Portland Ave
- Practice Address Line 2
- Suite 350
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 426-9278
- Practice Fax
- (585) 338-2738
- Enumeration Date
- September 17, 2007
- Last Updated
- October 09, 2013
- Authorized Official Last Name
- Davidson
- Authorized Official First Name
- Kenneth
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 426-9278
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)
- Other Identifiers
- Y019296 (Champus), 00450853 (NY), 10453 (Ghi), 4273339 (Aetna), 9913 (Blue Cross Blue Shield), PO10103663 (Blue Choice - Excellus), 005002871 (Blue Shield Western Ny), 005002871 (Community Blue), 07341 (Choice Care), MD4426 (Preferred Care)