Individual
DR. WILLIAM TODD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
130 W KINGSBRIDGE RD, BX VA, OOMH, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4709
Mailing address
300 HIDDEN VALLEY RD, KINGSTON, NY 12401-7813
(845) 340-9844
(845) 340-9844
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
004957-1
NY
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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