Organization
YVONNE L. DAVIS, NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE L DAVIS APRN (NPP)
(315) 427-8540
Entity
Organization
Contact information
Practice address
#1014, 1283 ARSENAL ST #16, WATERTOWN, NY 13601
(315) 427-8540
Mailing address
PO BOX 44, DEPAUVILLE, NY 13632-0044
(315) 427-8540
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04851621
—
NY
Enumeration date
01/07/2022
Last updated
01/07/2022
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