Search › New York › 172V00000X
Divine Davis
NPI 1629542121 · on the registry since 2019
Practice
- Address
- 350 E 143rd St Apt 5b
Bronx, NY 10454 - Phone
- (646) 303-0863
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 172V00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-17
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