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Individual

DIANA DAVYDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(646) 737-4955
Mailing address
37 HEMLOCK LN, 1ST FLOOR, STATEN ISLAND, NY 10309-1936
(646) 737-4955

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338908
NY

Other

Enumeration date
07/07/2014
Last updated
05/20/2015
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