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NPI Code Detail

MEDICARE: NECHAMA DAVIDSON

MEDICARE:   NECHAMA  DAVIDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1053920397
Entity Type Code : Individual
Provider Name (Legal Business Name) : NECHAMA DAVIDSON
Provider Business Mailing Address
First Line : 441 S PASCACK RD
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-6805
Country : US
Telephone Number : 718-930-6365
Fax Number :
Provider Business Practice Location Address
First Line : 441 S PASCACK RD
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-6805
Country : US
Telephone Number : 718-930-6365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2020
Last Update Date : 07/28/2020

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Directions to “ NECHAMA DAVIDSON ” Practice Location

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