Individual provider · Type 1 NPI

Stephanie Davidson, PNP

Pediatric Nurse Practitioner · New Hyde Park, NY

NPI number 1760180335 Active

Practice location

26901 76th Ave
New Hyde Park, NY 11040-1433

Mailing address

45 Irma Ave
Port Washington, NY 11050-2811

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383496 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1760180335

Stephanie Davidson, PNP's National Provider Identifier is 1760180335, issued on Feb 22, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Hyde Park, NY. The record was last updated on Dec 22, 2023.