Individual
DIAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-2525
Mailing address
437 PENINSULA BLVD, LYNBROOK, NY 11563-3156
(516) 262-1061
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3041331
NY
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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