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NPI Code Detail

MEDICARE: ENOCH DAVY

MEDICARE:   ENOCH  DAVY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse316368NY

General Provider Information

NPI Number : 1568892958
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENOCH DAVY
Provider Business Mailing Address
First Line : 75 E 21ST ST
Second Line : 3E
City : BROOKLYN
State : NY
Zip : 11226-1875
Country : US
Telephone Number : 347-336-7982
Fax Number :
Provider Business Practice Location Address
First Line : 75 E 21ST ST
Second Line : 3E
City : BROOKLYN
State : NY
Zip : 11226-1875
Country : US
Telephone Number : 347-336-7982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 11/20/2013

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Directions to “ ENOCH DAVY ” Practice Location

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