Individual
SUZETTE M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
217 MERRICK RD, SUITE 204, AMITYVILLE, NY 11701-3449
(646) 505-9456
Mailing address
423 E 81ST ST, SUITE 5FE, NEW YORK, NY 10028-5844
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003071-1
NY
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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