Individual
CASSANDRA DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5730
(315) 713-5389
Mailing address
266 STATE HIGHWAY 184, HEUVELTON, NY 13654-3144
(315) 528-7656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330512
NY
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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