| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | DAVIS JEFFREY J · DAVIS, JEFFREY J. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00156787 | [sources] | |||
| NPI | 1548258189 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Status | not available | [sources] | |||
| Address | 5 E. 63RD STREET, NEW YORK, NY 10065 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-medny-9c5b2099a203bde1a13d66a9f57ce85387b1f06f · us-mednj-20377f1dcd9fa398d5266f044ab863ee801b976eFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 5 E. 63RD STREET, NEW YORK, NY 10065 | United States | |
| United States | New York State Office of the Medicaid Inspector General | - | - |