Individual
MS. ELOISE DAVIS AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-8039
(212) 305-1754
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-8039
(212) 305-1754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270846
NY
207RI0200X
Infectious Disease Physician
Primary
270846
NY
Other
Enumeration date
04/16/2010
Last updated
07/21/2022
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