Individual
DR. JAN KENNETH DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1230 YORK AVE # 39, NEW YORK, NY 10065-6307
(212) 327-7858
(212) 327-7319
Mailing address
1230 YORK AVE # 39, NEW YORK, NY 10065-6307
(212) 327-7858
(212) 327-7319
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
250568
NY
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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