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Desiree Davis
Family Nurse Practitioner in Patchogue, New York
NPI 1295415701

Desiree Davis is a Family Nurse Practitioner based in East Patchogue, NY and is specialized in Family. Desiree Davis practices in Patchogue, NY. The NPI Number for Desiree Davis is 1295415701 and holds a License No. 351901 (New York).

The current practice location address for Desiree Davis is 152 N Ocean Ave, Patchogue, NY and can be reached out via phone at 347-608-6848.

Location: 152 N Ocean Ave, Patchogue, NY, 11772-5542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295415701
Provider Name
Desiree Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
152 N Ocean Ave, Patchogue, NY, 11772-5542
Phone Number
347-608-6848
Fax Number
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
152 N Ocean Ave
City
Patchogue
State
New York
Zip
11772-2004
Phone Number
347-608-6848
Fax Number
person
Provider Business Mailing Address Details
Address
152 N Ocean Ave
City
Patchogue
State
New York
Zip
11772-2004
Phone Number
347-608-6848
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
351901 (New York)
Definition
Definition to come...
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