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

Mr. Divine Davis

Individual provider Community Health Worker · NPI 1629542121

Mr. Divine Davis is a Community Health Worker in Bronx, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

350 E 143rd St Apt 5B
Bronx, NY 10454-1244
Phone: (646) 303-0863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Community Health Worker Taxonomy 172V00000X (NY)

Record details

NPI number1629542121
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019
Mailing address350 E 143rd St Apt 5b, Bronx, NY 10454-1244

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