Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ira Davis, MD, PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1750410759

Ira Davis, MD, PLLC is an MOHS-Micrographic Surgery Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2627 Hylan Blvd # C Box 10
Staten Island, NY 10314
Phone: (718) 477-4022
Fax: (718) 698-9573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 182268 (NY)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 182268 (NY)

Record details

NPI number1750410759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Mann — Biller · (914) 774-2478
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 24, 2015
Mailing address280 N Central Ave, Suite 114, Hartsdale, NY 10530-1832

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