Individual
DAVIS Q. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 608-5261
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 608-5261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406796
NY
Other
Enumeration date
12/06/2025
Last updated
12/09/2025
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