Individual
ARIELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
773 CONCOURSE VLG E, APT 16E, BRONX, NY 10451-3903
(718) 406-6198
Mailing address
1590 MADISON AVE APT 3H, NEW YORK, NY 10029-3869
(718) 406-6198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332248
NY
Other
Enumeration date
05/01/2017
Last updated
10/11/2018
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