Davina Chanta Carter
Individual provider Active NPI Contractor · Katonah, NY
NPI 1780047282 · NPPES record last updated Apr 1, 2016
Key facts
- NPI
- 1780047282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 37 Wildwood Rd
#1
Katonah, NY 10536-1708 - Phone
- (410) 340-6815
- NPI assigned
- Apr 1, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
37 Wildwood Rd
#1
Katonah, NY 10536-1708
Mailing address
37 Wildwood Rd
#1
Katonah, NY 10536-1708
Phone (410) 340-6815
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.