Individual
MS. ELAINE BEVERLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24345 CANEY RD, ROSEDALE, NY 11422-2329
(718) 736-4381
Mailing address
24345 CANEY RD, ROSEDALE, NY 11422-2329
(718) 736-4381
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
317500
NY
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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