Individual
PATRICIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(631) 523-6514
Mailing address
270 BUTTRICK AVE # L1, BRONX, NY 10465-3189
(631) 523-6514
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431149
NY
Other
Enumeration date
03/19/2018
Last updated
04/08/2019
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