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Cathleen C Davis, CDN

Nutritionist in Babylon, NY. Individual provider (NPI-1).

NPI number1851663546
StatusActive
Last updated in NPPESDec 8, 2016

Details

NPI
1851663546
Entity type
Individual (NPI-1)
Name
Cathleen C Davis
Credential
CDN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2012
Last updated
Dec 8, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist004735NYYes

Practice location

655 Deer Park Ave.
Babylon, NY 11702-1314

Phone 631-321-2100 · Fax 631-321-2246

Mailing address

655 Deer Park Ave.
Babylon, NY 11702-1314

Phone 631-321-2100 · Fax 631-321-2246

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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