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 of America · OMIG
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-20377f1dcd9fa398d5266f044ab863ee801b976e
· us-medny-9c5b2099a203bde1a13d66a9f57ce85387b1f06f
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States | New York State Office of the Medicaid Inspector General | - |
Address | ||
---|---|---|
Full address | Country | |
5 E. 63RD STREET, NEW YORK, NY 10065 | United States |
United States | New Jersey Office of the State Comptroller | - | - |