Individual
MS. JASSIMINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
337 KNICKERBOCKER AVE, BROOKLYN, NY 11237-8051
(718) 475-6518
Mailing address
105 MONROE ST, MOUNT VERNON, NY 10553-1440
(914) 426-3497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008517
NY
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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