Individual
CHARLES TALCOTT DAVIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 PARK AVE, SUITE 1C, NEW YORK, NY 10016-2556
(212) 685-0634
(212) 213-1374
Mailing address
77 PARK AVE, SUITE 1C, NEW YORK, NY 10016-2556
(212) 685-0634
(212) 213-1374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
159659
NY
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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