National Provider Identifier
Bonita Ann Davis, RD
Bonita Ann Davis, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (607) 277-2943.
Profile Overview
- NPI
- 1154627610
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 01, 2011
- Last Updated
- February 01, 2011
Practice Location
- 681 Snyder Hill RD
- Ithaca, NY 14850-8711
Phone: (607) 277-2943
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1154627610
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Bonita
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- RD
- Provider Other Last Name
- Younk
- Provider Other First Name
- Bonita
- Provider Other Middle Name
- Ann
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 681 Snyder Hill RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8711
- Mailing Country
- US
- Mailing Phone
- (607) 277-2943
- Practice Street Address
- 681 Snyder Hill RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-8711
- Practice Country
- US
- Practice Phone
- (607) 277-2943
- Enumeration Date
- February 01, 2011
- Last Updated
- February 01, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)