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NPI Code Detail

MEDICARE: DONNA DAVIS-COMPAORE

MEDICARE: DONNA DAVIS-COMPAORE
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
11041C0700XClinical Social Worker094580-01NY

General Provider Information

NPI Number : 1629910161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA DAVIS-COMPAORE
Provider Business Mailing Address
First Line : 625 W 140TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10031-7186
Country : US
Telephone Number : 347-524-1500
Fax Number :
Provider Business Practice Location Address
First Line : 625 W 140TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10031-7186
Country : US
Telephone Number : 347-524-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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