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

Mr. Deitron L Davis

Individual provider Driver · NPI 1063168276

Mr. Deitron L Davis is a Driver in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

55 Malcolm X Blvd Frnt A
New York, NY 10026-3021
Phone: (888) 493-3488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Malcolm X Blvd Frnt A, New York, NY 10026-3021

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 591190737 (NY)

Record details

NPI number1063168276
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address1915 Seagirt Blvd Apt 11l, Far Rockaway, NY 11691-3786

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