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1508204132
IDALIE DAVIS
BROOKLYN, NY
NPI
1508204132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-06-05
Last Update Date
2019-09-16
Business Address
MRS. IDALIE DAVIS M.D.
84 SCHAEFER ST
BROOKLYN, NY 11207-1024
Phone number: 917-805-5594
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Mailing Address
MRS. IDALIE DAVIS M.D.
84 SCHAEFER ST
BROOKLYN, NY 11207-1024
Phone number: 917-805-5594
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