Individual
MR. BRIAN MATTHEW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 585-9000
Mailing address
102 BRADHURST AVE APT 202, NEW YORK, NY 10039-3308
(609) 851-8608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
734138
NY
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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