Individual
MS. ASHLEY VIVIANA DAVIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 PORT WASHINGTON BLVD STE 105, ROSLYN, NY 11576-1347
(917) 626-2185
Mailing address
38 QUAIL RUN DR, DEER PARK, NY 11729-5640
(718) 551-4068
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310345
NY
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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