Individual
DR. IGOR DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2928 BRIGHTON 8TH ST, BROOKLYN, NY 11235-6381
(718) 541-9074
Mailing address
2928 BRIGHTON 8TH ST, BROOKLYN, NY 11235-6381
(718) 541-9074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016113-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016113-1
LICENSE
NY
05
—
02596463
—
NY
Enumeration date
07/26/2006
Last updated
10/26/2007
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