SearchNew York224Z00000X

Jibrail Davis, COTA

NPI 1952745838 · on the registry since 2013

Practice

Address
3505 Avenue S
Brooklyn, NY 11234
Phone
(718) 787-1772

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-04-23

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