Individual
MR. BRUCE ALAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
#10 UNION SQUARE EAST, NEW YORK CITY, NY 10003
(212) 844-6806
Mailing address
#10 UNION SQUARE EAST, NEW YORK CITY, NY 10003
(212) 844-6806
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008043
NY
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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