Individual
MR. JOSE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 CLIFTON AVE, CLIFTON, NJ 07011-3264
(973) 246-4445
Mailing address
224 W 35TH ST STE 500, NEW YORK, NY 10001-2538
(718) 266-0900
(718) 266-1426
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
582379
NY
363LP2300X
Primary Care Nurse Practitioner
AG02250044
NJ
Other
Enumeration date
02/19/2025
Last updated
10/28/2025
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