Deitron Davis
NPI 1063168276 · on the registry since 2022
Practice
- Address
- 55 Malcolm X Blvd Frnt A
New York, NY 10026 - Phone
- (888) 493-3488
Additional practice sites
- 55 Malcolm X Blvd Frnt A, New York, NY
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-25
- Status
- Not present in the most recent federal file
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