Provider Demographics
NPI:1982439998
Name:DAVY, SHYYELLA (CD (DTI), CLC)
Entity type:Individual
Prefix:MRS
First Name:SHYYELLA
Middle Name:
Last Name:DAVY
Suffix:
Gender:F
Credentials:CD (DTI), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 E 214TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-5966
Mailing Address - Country:US
Mailing Address - Phone:917-667-1262
Mailing Address - Fax:
Practice Address - Street 1:744 E 214TH ST APT 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-5966
Practice Address - Country:US
Practice Address - Phone:917-667-1262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker