Individual
BROOKE ALISON DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26908 INDEPENDENCE WAY, EVANS MILLS, NY 13637-3300
(315) 782-6900
(315) 782-2581
Mailing address
26908 INDEPENDENCE WAY, EVANS MILLS, NY 13637-3300
(315) 782-6900
(315) 782-2581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995615
—
NY
Enumeration date
09/23/2013
Last updated
05/02/2024
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