Individual
MR. BRIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9729 64TH RD, STE 1FL, REGO PARK, NY 11374-2259
(718) 896-3400
(718) 459-5621
Mailing address
9729 64TH RD, STE 1FL, REGO PARK, NY 11374-2259
(718) 896-3400
(718) 459-5621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
079597
NY
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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