Shaka Davidson, is a
Massage Therapist based in Chappaqua, New York. Shaka Davidson is licensed to practice in New York (license number 023264) and his current practice location is
14 S Greeley Ave, Chappaqua, New York. He can be reached at his office (for appointments etc.) via phone at
(347) 348-0072.
NPI number for Shaka Davidson is 1013630961 and his current mailing address is Po Box 793, Mount Kisco, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013630961.
Healthcare Provider's Profile
| Full Name | Shaka Davidson |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 14 S Greeley Ave, Chappaqua, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013630961
- Provider Enumeration Date: 09/23/2022
- Last Update Date: 09/23/2022
Medical Identifiers
Medical identifiers for Shaka Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013630961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 023264 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaka Davidson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shaka Davidson,
Po Box 793,
Mount Kisco, NY 10549-0793
Ph: (845) 661-8439 | Shaka Davidson,
14 S Greeley Ave,
Chappaqua, NY 10514-3311
Ph: (347) 348-0072 |
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