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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DIVINE DAVIS

Active

MR. DIVINE DAVIS is a Community Health Worker healthcare provider located in BRONX, New York. NPI 1629542121 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · BRONX, NY

Registration Details

NPI Number
1629542121
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2019 (7.6166639435544 yrs)
Last Updated
Jan 17, 2019

Practice Information

Address
350 E 143RD ST APT 5B
BRONX, NY, 104541244
Browse NY providers · Browse ZIP 10454
Phone
6463030863
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in BRONX, NY

Name Credential NPI
MR. KEITH SCOTT LANDHERR OTR/L 1689828139
MS. MILDRED S. PASTOR 1598065906
HIUSHAN NG 1508145541
MS. RENEE CRUZADO TSHH 1376805291
MRS. NILAJAH A REED 1083950745
MR. ROBERT SIMMS MEMORY 1306267315
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.