Doctor Name: | ANGELINE DAVIUS |
NPI Number: | 1376933036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 594949 |
Business Practice Address: | 21601 115 Terrace Cambria Heights, NY - 11411 |
Business Phone Number: | 7183143488 |
Business Fax Number: | |
Mailing Address: | 21601 115th Ter, CAMBRIA HEIGHTS |
State: | NY |
Postal Code: | 114111113 |
Phone Number: | 7183143488 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 594949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |