Doctor Name: | MS. ANNMARIE DAVIS |
NPI Number: | 1255593554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 13325 220th St Springfield Gardens, NY - 114131636 |
Business Phone Number: | 7184714881 |
Business Fax Number: | 7183371535 |
Mailing Address: | 2031 Seagirt Blvd, 1a FAR ROCKAWAY |
State: | NY |
Postal Code: | 116912930 |
Phone Number: | 7184714881 |
Fax Number: | 7183371535 |
NPI Enumeration Date: | 06/27/2008 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |