Individual
JACLYN CAREY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PLACE, BOX 1208, NEW YORK, NY 10029-6574
(212) 241-7022
Mailing address
1 GUSTAVE L LEVY PLACE, BOX 1208, NEW YORK, NY 10029-6574
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
242496
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
242496
NY
Other
Enumeration date
05/19/2008
Last updated
03/26/2013
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