Individual
JOSEPH DAVIDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14418 72ND RD, FLUSHING, NY 11367-2406
(718) 306-7877
Mailing address
14418 72ND RD, FLUSHING, NY 11367-2406
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
495108
NY
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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