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Individual

COREY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PO BOX 708, BRONX, NY 10451-0708
(718) 440-0019
Mailing address
PO BOX 708, BRONX, NY 10451-0708

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi
5579486
NY

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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