Individual provider · Type 1 NPI
Deitron L. Davis
Driver · New York, NY
NPI number
1063168276
Active
Practice location
55 Malcolm X Blvd Frnt A
New York, NY 10026-3021
Mailing address
1915 Seagirt Blvd Apt 11L
Far Rockaway, NY 11691-3786
Other practice locations
- 55 Malcolm X Blvd Frnt A, New York, NY 10026-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 591190737 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in New York
About NPI 1063168276
Deitron L. Davis's National Provider Identifier is 1063168276, issued on Feb 25, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in New York, NY. The record was last updated on Feb 25, 2022.