ELLEN WICKS DAVIS

EAST MEADOW, NY
NPI1790714012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F330299)
Enumeration Date2006-06-30
Last Update Date2008-04-10
Business Address
-- ELLEN WICKS DAVIS N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6254
Mailing Address
-- ELLEN WICKS DAVIS N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6254
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