Individual
AVITAL DAVIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6812 YELLOWSTONE BLVD APT 5N, FOREST HILLS, NY 11375-3210
(718) 593-6760
Mailing address
6812 YELLOWSTONE BLVD APT 5N, FOREST HILLS, NY 11375-3210
(718) 593-6760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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