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

MS. Noelle Anne Daversa

Individual provider Specialist · NPI 1619367778

MS. Noelle Anne Daversa is a Specialist in Smithtown, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

208 Holly Ln
Smithtown, NY 11787
Phone: (631) 774-8665
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2233020 (NY)

Record details

NPI number1619367778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJanuary 28, 2015
Mailing address208 Holly Lane, Smithtown, NY 11787

Other providers in Smithtown