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Individual

MRS. DANIELLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
462 1ST AVE FRNT 1, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
462 1ST AVE FRNT 1, NEW YORK, NY 10016-9196
(212) 562-4141

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
86056517
NY
133V00000X
Registered Dietitian
Primary
9950-01
NY

Other

Enumeration date
04/22/2019
Last updated
01/18/2023
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