Flora Davitt

Individual provider Active NPI Licensed Practical Nurse · Stony Point, NY

NPI 1144751975 · NPPES record last updated Mar 23, 2017

Key facts

NPI
1144751975
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
143402 (NY)
Practice address
300 Battalion Dr
Stony Point, NY 10980-2458
Phone
(718) 828-2666
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
143402NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 143402 NY Yes

Addresses

Primary practice location

300 Battalion Dr
Stony Point, NY 10980-2458

Mailing address

300 Battalion Dr
Stony Point, NY 10980-2458
Phone (718) 828-2666

Other providers in Stony Point, NY

All providers in Stony Point, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.