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Individual

DR. STEPHEN ANTHONY DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
454 AVENUE U, BROOKLYN, NY 11223-4011
(718) 382-3400
(718) 382-3420
Mailing address
454 AVENUE U, BROOKLYN, NY 11223-4011
(718) 382-3400
(718) 382-3420

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
150869
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00932738
NY
Enumeration date
05/17/2006
Last updated
07/08/2007
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