Individual
MR. CRAIG PETER DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8054
(631) 849-6688
Mailing address
435 SAYVILLE BLVD, SAYVILLE, NY 11782-2015
(631) 972-8162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047023
NY
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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