Individual
ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-9368
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4098
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
207702-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01950774
—
NY
Enumeration date
07/02/2006
Last updated
06/06/2012
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