Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 180901 | NY |
NPI | 1083715833 |
---|---|
Provider Name | Dr. Anne Davidson |
First Address | Ardsley, NY 10502-1527 |
Second Address | New York, NY 10032-3802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |