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NPI Code Detail

MEDICARE: DAVID NIEVES

MEDICARE: DAVID NIEVES
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
1101YA0400XAddiction (Substance Use Disorder) Counselor0987NY

General Provider Information

NPI Number : 1558216036
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID NIEVES
Provider Business Mailing Address
First Line : 2271 3RD AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2231
Country : US
Telephone Number : 917-492-0990
Fax Number :
Provider Business Practice Location Address
First Line : 2271 3RD AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2231
Country : US
Telephone Number : 917-492-0990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ DAVID NIEVES ” Practice Location

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