Individual
MICHELLE M DAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMC - EMERGENCY MEDICINE, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-6626
Mailing address
1916 CHARLES ST, BELLMORE, NY 11710-3208
(718) 920-6626
(718) 798-0730
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
173115
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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