Individual
DR. JONATHAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 CROSSWAYS PARK DR, WOODBURY, NY 11797-2036
(516) 677-9658
(516) 677-9623
Mailing address
40 CROSSWAYS PARK DR, WOODBURY, NY 11797-2036
(516) 677-9658
(516) 677-9623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224055
NY
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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