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NPI Code Detail

MEDICARE: DELEASHA DAVIS

MEDICARE: DELEASHA DAVIS
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
1374J00000XDoulaNY

General Provider Information

NPI Number : 1487582532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELEASHA DAVIS
Provider Business Mailing Address
First Line : 711 SAINT LAWRENCE AVE UPPR
Second Line :
City : BUFFALO
State : NY
Zip : 14216-1616
Country : US
Telephone Number : 716-424-4707
Fax Number :
Provider Business Practice Location Address
First Line : 711 SAINT LAWRENCE AVE UPPR
Second Line :
City : BUFFALO
State : NY
Zip : 14216-1616
Country : US
Telephone Number : 716-424-4707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ DELEASHA DAVIS ” Practice Location

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