Individual
EVANGELIA DAVANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CNSC
Contact information
Practice address
121 DEKALB AVE, B231, BROOKLYN, NY 11201-5425
(718) 250-8211
(718) 250-6480
Mailing address
121 DEKALB AVE, B231, BROOKLYN, NY 11201-5425
(718) 250-8211
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
052244
NY
Other
Enumeration date
01/13/2012
Last updated
10/08/2012
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