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Shana Davis

NPI 1457731010 · on the registry since 2015 · sole proprietor

Practice

Address
1740 Mulford Ave
Apt 19f
Bronx, NY 10461
Phone
(845) 480-2461
Clinicians at this address
4

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
252Y00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York