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1295415701
DESIREE DAVIS
STATEN ISLAND, NY
NPI
1295415701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351901)
Enumeration Date
2023-07-19
Last Update Date
2024-07-16
Business Address
DESIREE DAVIS
63 LEXINGTON AVE
STATEN ISLAND, NY 10302-2024
Phone number: 917-830-6908
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Mailing Address
DESIREE DAVIS
114 N DUNTON AVE
EAST PATCHOGUE, NY 11772-5542
Phone number: 347-608-6848
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