Individual
MRS. KATHLEEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4970
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4970
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F302148
NY
Other
Enumeration date
06/22/2009
Last updated
12/18/2015
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