Search › New York › 363LG0600X

Jacqueline Davis

NPI 1710687678 · on the registry since 2023 · sole proprietor

Practice

Address
642 Miller Ave
Freeport, NY 11520
Phone
(347) 610-6206

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York