Individual
MR. JONATHAN DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 696-2583
(718) 881-5074
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 696-2583
(718) 881-5074
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
309180-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
06/24/2022
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