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Individual

RACHEL B DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
24 RESEARCH WAY STE 500, SETAUKET, NY 11733-3470
(631) 444-6270
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
303162-01
NY
2088P0231X
Pediatric Urology Physician
303162-01
NY

Other

Enumeration date
07/23/2013
Last updated
08/26/2020
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