Individual
MS. JUDITH ILENE DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
50 RT 25A, ST CATHERINE OF SIENA MEDICAL CENTER, SMITHTOWN, NY 11787
(631) 862-3250
(631) 862-3543
Mailing address
38 ASHLEY CIRCLE, MANORVILLE, NY 11949
(631) 874-0589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201673-1
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350052
NY
Other
Enumeration date
04/09/2007
Last updated
09/11/2025
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