Healthcare Provider Details

I. General information

NPI: 1215876834
Provider Name (Legal Business Name): TOVA DAVATGAR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 E 28TH ST
BROOKLYN NY
11229-2515
US

IV. Provider business mailing address

1842 E 28TH ST
BROOKLYN NY
11229-2515
US

V. Phone/Fax

Practice location:
  • Phone: 347-853-9024
  • Fax:
Mailing address:
  • Phone: 347-853-9024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF312398-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: