Individual
MARYKAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
911 STOWELL ST, ELMIRA, NY 14901-1428
(607) 737-5215
(607) 737-5219
Mailing address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 398-8608
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
815465
NY
Other
Enumeration date
09/12/2015
Last updated
11/11/2025
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