Individual
MRS. RONNIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
17 TAFT CT, STATEN ISLAND, NY 10314-4139
(718) 494-2381
Mailing address
17 TAFT CT, STATEN ISLAND, NY 10314-4139
(718) 494-2381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
759792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
759792
FILE NUMBER
NY
Enumeration date
06/30/2010
Last updated
06/30/2010
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