Individual
DIANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3014 CRESCENT ST, ASTORIA, NY 11102-3249
(718) 808-7241
Mailing address
1109 128TH ST, COLLEGE POINT, NY 11356-1937
(347) 886-7568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F311900-01
NY
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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