Individual
ANIA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 281-7776
Mailing address
5 DOVER LN, FARMINGDALE, NY 11735-6116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2578097
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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