Individual
DR. ANGELA DAVYDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145-04 97TH AVE, JAMAICA, NY 11435
(718) 657-6085
(718) 206-2352
Mailing address
93-40 QUEENS BLVD APT 3C, REGO PARK, NY 11374
(718) 657-6085
(718) 206-2352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02409227
—
NY
Enumeration date
09/28/2006
Last updated
07/08/2007
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