Individual
MR. DAVIS ALAN ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
658 CARROLL ST APT 4A, BROOKLYN, NY 11215-2020
(404) 895-7417
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432236
NY
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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