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NPI Code Detail

MEDICARE: NATASHA DAVIDSON

MEDICARE: NATASHA DAVIDSON
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1871443572
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA DAVIDSON
Provider Business Mailing Address
First Line : 454 WILLIAMS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-5109
Country : US
Telephone Number : 347-661-5684
Fax Number :
Provider Business Practice Location Address
First Line : 454 WILLIAMS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-5109
Country : US
Telephone Number : 347-661-5684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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