| Desiree Davis, | |
| 
					63 Lexington Ave, Staten Island, NY 10302-2024  | |
| (917) 830-6908 | |
| Not Available | 
| Full Name | Desiree Davis | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 63 Lexington Ave, Staten Island, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295415701 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 351901 (New York) | Primary | 
| Entity Name | North Ocean Medical Group P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477819001 PECOS PAC ID: 0143460634 Enrollment ID: O20130705000004  | 
| Entity Name | Daniel Novick Md Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770327447 PECOS PAC ID: 0143754341 Enrollment ID: O20241111002856  | 
| Entity Name | Compassionate Family Health Np, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265232417 PECOS PAC ID: 1759800964 Enrollment ID: O20250521001340  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Desiree Davis, 114 N Dunton Ave, East Patchogue, NY 11772-5542 Ph: (347) 608-6848  | Desiree Davis, 63 Lexington Ave, Staten Island, NY 10302-2024 Ph: (917) 830-6908  | 
Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711  | |
Genevieve Spota,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553  | |
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773  | |
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146  | |
Alexis Rigo,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000  | |
Alexandra Frances Manetta,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654  | |
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650  |