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Individual

MR. DONALD DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 8TH AVE, 3RD FLOOR, NEW YORK, NY 10018-6504
(212) 904-1500
Mailing address
636 CHAUNCEY ST, BROOKLYN, NY 11207-1411
(718) 484-3724

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/18/2008
Last updated
08/18/2008
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