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Individual

CARLIE MARIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 E 32ND ST, NEW YORK, NY 10016-6004
(212) 263-5940
Mailing address
282 PINE CREEK AVE, FAIRFIELD, CT 06824-6389
(203) 908-5705

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383629
NY

Other

Enumeration date
07/28/2023
Last updated
07/28/2023
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