OrganizationActive
Ira Davis, MD, PLLC
NPI 1750410759 · MOHS-Micrographic Surgery Physician · Staten Island, NY
Provider details
- NPI number
- 1750410759
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Mann, Biller(914) 774-2478
- License
- 182268 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2627 Hylan Blvd # C
Box 10
Staten Island, NY 10314
Phone: (718) 477-4022
Fax: (718) 698-9573
Street-level locationGet directions
Mailing address
280 N Central Ave
Hartsdale, NY 10530-1832
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2015-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.