Search › New York › 174400000X
Noelle Daversa
NPI 1619367778 · on the registry since 2015
Practice
- Address
- 208 Holly Lane
Smithtown, NY 11787 - Phone
- (631) 774-8665
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-28
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