Miriam Davis

NPI 1619124799 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1619124799
Gender Female
Enumeration Date 08/20/2008
Last Updated 08/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
451-1 WILLOW ROAD EAST
STATEN ISLAND NY, 10314, US
Phone (347) 414-1851
Fax
Business Location
451-1 WILLOW ROAD EAST
STATEN ISLAND NY, 10314, US
Phone (347) 414-1851
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 118156
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According to our database, Miriam Davis NPI is 1619124799, taxonomy code is 164W00000X and license number is 118156, license state is located at New York. Miriam Davis physically located at 451-1 Willow Road East, Staten Island NY, 10314. NPI Number Miriam Davis has the Individual type.

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1619124799 NPI number is provided on an as is basis without warranty of any kind. 1619124799 is maintained by the National Plan & Provider Enumeration System. The contents of Miriam Davis are for informational purposes only.