Individual
DR. GLEN PRIESTER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
198 E 121ST ST, NEW YORK, NY 10035-3523
(212) 803-2727
(646) 335-0667
Mailing address
198 E 121ST ST, NEW YORK, NY 10035-3523
(212) 803-2727
(646) 335-0667
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
239049
NY
282N00000X
General Acute Care Hospital
239049
NY
Other
Enumeration date
05/02/2007
Last updated
03/12/2014
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