Individual
CAROLYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6321 NEW UTRECHT AVE, BROOKLYN, NY 11219-5425
(212) 687-7464
Mailing address
6321 NEW UTRECHT AVE, BROOKLYN, NY 11219-5425
(212) 687-7464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328182
NY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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