Individual provider · Type 1 NPI

Judith Ilene Davison, NNP

Critical Care Neonatal Nurse Practitioner · Smithtown, NY

NPI number 1073636858 Active

Practice location

50 Rt 25A, St Catherine Of Siena Medical Center
Smithtown, NY 11787

Fax (631) 862-3543

Mailing address

38 Ashley Circle
Manorville, NY 11949

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201673-1 (NY)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XF350052 (NY)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1073636858

Judith Ilene Davison, NNP's National Provider Identifier is 1073636858, issued on Apr 9, 2007. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Smithtown, NY. The record was last updated on Sep 11, 2025.