National Provider Identifier

Shataquwa D Davis

Shataquwa D Davis is listed in the NPPES registry with a primary specialty of Specialist in Niagara Falls, NY and a listed phone number of (716) 297-0798.

NPI 1003533456Niagara Falls, NYSpecialist

Profile Overview

NPI
1003533456
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 26, 2022
Last Updated
October 26, 2022

Practice Location

  • 9812 Lockport RD
  • Niagara Falls, NY 14304-1114

Phone: (716) 297-0798

Specialties

  • Specialist (174400000X)

Endpoints

  • njmangus@empower-wny.org

    Direct Messaging Address | Direct | Other | Niagara Falls, NY 14304

    Business Email

  • njmangus@empower-wny.org

    Direct Messaging Address | Health Information Exchange (Hie) | Other | Niagara Falls, NY 14304

    Business Email

Full Record
NPI
1003533456
Entity Type
Individual
Last Name
Davis
First Name
Shataquwa
Middle Name
D
Name Prefix
MS.
Mailing Street Address
9812 Lockport RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-1114
Mailing Country
US
Mailing Phone
(716) 297-1478
Mailing Fax
(716) 297-0998
Practice Street Address
9812 Lockport RD
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-1114
Practice Country
US
Practice Phone
(716) 297-0798
Practice Fax
(716) 297-0998
Enumeration Date
October 26, 2022
Last Updated
October 26, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 26, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
1650867222 (NY)