Individual
IOSIF DAVIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
147-32 78TH AVE., FLUSHING, NY 11367-3433
(347) 531-5295
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
301545
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
301545
NY
Other
Enumeration date
03/31/2018
Last updated
07/09/2024
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