Individual
ALLA DAVYDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 CLAIRE CT, STATEN ISLAND, NY 10301-4403
(718) 720-1913
Mailing address
47 CLAIRE CT, STATEN ISLAND, NY 10301-4403
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014934-1
NY
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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