Individual
JENNIFER I DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 E 172ND ST, B-100, BRONX, NY 10457-8903
(718) 410-4052
(718) 410-4037
Mailing address
240 E 172ND ST, B-100, BRONX, NY 10457-8903
(718) 410-4052
(718) 410-4037
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
243742
NY
Other
Enumeration date
07/08/2008
Last updated
12/29/2011
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