Individual
MS. MONIFA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A.-C
Contact information
Practice address
555 W 57TH ST, NEW YORK, NY 10019-2925
(212) 420-2000
Mailing address
555 W 57TH ST, NEW YORK, NY 10019-2925
(212) 420-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013128-1
NY
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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