Individual
ELAINE M. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1724 BURRSTONE RD, NEW HARTFORD, NY 13413-1002
(315) 624-4740
Mailing address
1724 BURRSTONE RD, NEW HARTFORD, NY 13413-1002
(315) 624-4740
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305127-1
NY
Other
Enumeration date
12/02/2009
Last updated
09/10/2012
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