Valerie Lynn Davis I, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Old Bethpage, NY

NPI 1801327150 · NPPES record last updated Mar 27, 2017

Key facts

NPI
1801327150
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
364512 (NY)
Practice address
191 Sweet Hollow Rd
Old Bethpage, NY 11804-1342
Phone
(516) 870-1600
Fax
(516) 870-1609
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
364512NYMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 364512 NY Yes

Addresses

Primary practice location

191 Sweet Hollow Rd
Old Bethpage, NY 11804-1342

Mailing address

191 Sweet Hollow Rd
Old Bethpage, NY 11804-1342
Phone (516) 870-1600

Other providers in Old Bethpage, NY

All providers in Old Bethpage, NY · Psychiatric/Mental Health Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.