Individual
DR. KATHLEEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
568 BROADWAY, SUITE 303, NEW YORK, NY 10012-3225
(212) 334-1155
(212) 334-4395
Mailing address
568 BROADWAY, SUITE 303, NEW YORK, NY 10012-3225
(212) 334-1155
(212) 334-4395
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
177164
NY
Other
Enumeration date
08/09/2006
Last updated
09/20/2010
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