Individual
AMALA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5731
Mailing address
3411 WAYNE AVE, BRONX, NY 10467-2509
(718) 920-5731
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
027278-01
NY
Other
Enumeration date
04/11/2022
Last updated
09/09/2022
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