Individual
BRIANA NOEL DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 420-2000
Mailing address
200 WATER ST APT 329, NEW YORK, NY 10038-3608
(631) 645-1099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029375-01
NY
363AS0400X
Surgical Physician Assistant
029375-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GQ42431C
—
NY
Enumeration date
12/28/2022
Last updated
12/28/2022
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