Davis, Ivion

Davis, Ivion is an individual health care provider with primary practice located at 592 Rockaway Ave , Brooklyn NY 11212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davis, Ivion can be contacted via phone (718) 345-5000.

Contact Information

Primary practice address
592 Rockaway Ave Brooklyn NY 11212
Fax: (718) 345-5794
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F334806-1 New York

Profile Details

NPI number 1881710267
LBN Legal business name Davis, Ivion
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881710267 NPPES
New York MEDICAID 04015463

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