Individual
ANNIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 266-4489
Mailing address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2833557
NY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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