Davidson, Mallory
Davidson, Mallory is an sole proprietor health care provider with primary practice located at 1018 Fire Island Ave , Bay Shore NY 11706-3516. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Davidson, Mallory can be contacted via phone (516) 457-1027.Contact Information
Primary practice address
1018 Fire Island Ave
Bay Shore NY 11706-3516
Phone: (516) 457-1027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1902533300 |
|---|---|
| LBN Legal business name | Davidson, Mallory |
| Credentials | MSED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2022 |
| Last updated | Aug 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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