Individual
MR. DMITRY DAVYDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
25262 BRATTLE AVE, LITTLE NECK, NY 11362-1810
(718) 224-0456
Mailing address
25262 BRATTLE AVE, LITTLE NECK, NY 11362-1810
(718) 224-0456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X09388
NY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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