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

George Davydov

Individual provider Surgical Physician Assistant · NPI 1265801591

George Davydov is a Physician Assistant in Flushing, New York. Qualified in 2015, 11 years ago. Practices with Hudson Pro Orthopaedics and Sports Medicine, a 13-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
11
Licensed in
NJ, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

14130 70th Rd
Flushing, NY 11367-1937
Phone: (171) 826-3789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 018986 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00542200 (NJ)

Record details

NPI number1265801591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2015
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address170 William St, New York, NY 10038-2612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hudson Pro Orthopaedics And Sports Medicine — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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