Individual
SADE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
38 FRANK ST, VALLEY STREAM, NY 11580-1650
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
659666
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
659666
NY
Other
Enumeration date
03/11/2021
Last updated
06/15/2021
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