Davese Deomi Black
NPI #1548827488 in Massapequa, New York
Provider Information
- NPI Number
- 1548827488
- Entity Type
- Individual
- Name
- Davese Deomi Black
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 27, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 4238 MERRICK RD
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-6016
- Phone
- (516) 900-1978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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