Individual
PAUL DAVANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
222 SACKETT ST APT 2R, BROOKLYN, NY 11231-3668
(631) 338-0303
Mailing address
222 SACKETT ST APT 2R, BROOKLYN, NY 11231-3668
(631) 338-0303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402480
NY
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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