Individual
ELENA DAVIDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
(718) 780-3287
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
(718) 780-3287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008945
NY
Other
Enumeration date
05/03/2007
Last updated
11/14/2019
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