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Valjean Bacot-davis
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1407597651

Valjean Bacot-davis is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Valjean Bacot-davis practices in Stony Brook, NY. The NPI Number for Valjean Bacot-davis is 1407597651 and holds a License No. (New York).

The current practice location address for Valjean Bacot-davis is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-636-1883.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407597651
Provider Name
Valjean Bacot-davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd, Stony Brook, NY, 11794-0001
Phone Number
631-636-1883
Fax Number
Provider Enumeration Date
04/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-636-1883
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-636-1883
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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