MR. Deitron L Davis

NPI #1063168276 in New York, New York

Provider Information

NPI Number: 1063168276
Entity Type: Individual
Name: MR. Deitron L Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 25, 2022
Last Updated: Feb 25, 2022

Practice Location

Address: 55 MALCOLM X BLVD FRNT A
City: New York
State: New York
ZIP Code: 10026-3021
Phone: (888) 493-3488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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