Individual
KIRILL DAVIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TITUS PLACE, WALTON, NY 13856-1455
(607) 865-2400
(607) 865-7305
Mailing address
2 TITUS PLACE, WALTON, NY 13856-1455
(607) 865-2400
(607) 865-7305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301827
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2017
Last updated
06/17/2025
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