National Provider Identifier
Scott Davis
Scott Davis is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 368-6900.
Profile Overview
- NPI
- 1477217289
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- October 27, 2021
- Last Updated
- October 09, 2024
Practice Location
- 81 Lake Ave
- Rochester, NY 14608-1410
Phone: (585) 368-6900
Mailing Address
- 8 Scarlet Maple Dr
- Spencerport, NY 14559-2064
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1477217289
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Scott
- Mailing Street Address
- 8 Scarlet Maple Dr
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-2064
- Mailing Country
- US
- Practice Street Address
- 81 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1410
- Practice Country
- US
- Practice Phone
- (585) 368-6900
- Enumeration Date
- October 27, 2021
- Last Updated
- October 09, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)