Healthcare Provider Details

I. General information

NPI: 1790606242
Provider Name (Legal Business Name): KETTY ACASIA DAVILA RN- PMHNP STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 60TH ST
WEST NEW YORK NJ
07093-2211
US

IV. Provider business mailing address

415 60TH ST FL 2
WEST NEW YORK NJ
07093-2211
US

V. Phone/Fax

Practice location:
  • Phone: 201-737-9758
  • Fax:
Mailing address:
  • Phone: 201-737-9758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number1194539023
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: