Davis, Marjorie

Davis, Marjorie is an individual health care provider with primary practice located at 407 E 4Th St Fl 2 , Mount Vernon NY 10553-1501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Marjorie can be contacted via phone (718) 683-4721.

Contact Information

Primary practice address
407 E 4Th St Fl 2 Mount Vernon NY 10553-1501
Phone: (718) 683-4721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 669805 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 347267 New York

Profile Details

NPI number 1609288471
LBN Legal business name Davis, Marjorie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated Mar 7th, 2024 - about 6 months 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 1609288471 NPPES
New York MEDICAID F347267

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