person
Mr. Deitron L Davis
Driver in New York, New York
NPI 1063168276

Deitron L Davis is a Driver based in Far Rockaway, NY. Deitron L Davis practices in New York, NY. The NPI Number for Deitron L Davis is 1063168276 and holds a License No. 591190737 (New York).

The current practice location address for Deitron L Davis is 55 Malcolm X Blvd Frnt A, New York, NY and can be reached out via phone at 888-493-3488. You can also correspond with Deitron L Davis through the mailing address at 1915 SEAGIRT BLVD APT 11L, FAR ROCKAWAY, NY - 11691-3786 (mailing address contact number: 646-956-7916).

Location: 55 Malcolm X Blvd Frnt A, New York, NY, 11691-3786
person
Provider Profile Details
NPI Number
1063168276
Provider Name
Deitron L Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
55 Malcolm X Blvd Frnt A, New York, NY, 11691-3786
Phone Number
888-493-3488
Fax Number
Provider Enumeration Date
02/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Malcolm X Blvd Frnt A
City
State
Zip
10026-3021
Phone Number
888-493-3488
Fax Number
person
Provider Business Mailing Address Details
Address
55 Malcolm X Blvd Frnt A
City
State
Zip
10026-3021
Phone Number
888-493-3488
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
591190737 (New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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