Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davese Deomi Black

Individual provider Registered Nurse · NPI 1548827488

Davese Deomi Black is a Registered Nurse in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

4238 Merrick Rd
Massapequa, NY 11758-6016
Phone: (516) 900-1978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 611477-1 (NY)

Record details

NPI number1548827488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2019
Last updated in NPPESJune 11, 2019
Mailing address4238 Merrick Rd, Massapequa, NY 11758-6016

Other providers in Massapequa