Individual
MRS. JULIET DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-3557
Mailing address
23315 130TH AVE, ROSEDALE, NY 11422-1101
(917) 291-2624
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
343316
NY
Other
Enumeration date
08/29/2018
Last updated
06/20/2019
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