Individual
MRS. COURTNEY DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 727-7773
(631) 727-7832
Mailing address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 727-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342365
NY
Other
Enumeration date
03/06/2018
Last updated
12/28/2023
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