Individual
DR. KENNETH DAVIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
49 SMITH AVE, MOUNT KISCO, NY 10549-2813
(914) 666-4602
Mailing address
3 CRAIG ST, JERICHO, NY 11753-1948
(914) 646-0322
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
009842-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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