Organization
NANCY DAVISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DAVISON (CLINICAL SUPERVISOR)
(518) 242-4731
Entity
Organization
Contact information
Practice address
391 WESTERN AVE, ALBANY, NY 12203-1401
(518) 242-4731
Mailing address
391 WESTERN AVE, ALBANY, NY 12203-1401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071063-1
NY
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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