DR. YVON DAMOUR M.D. NPI 1124114491

NPI Information

NPI: 1124114491
Provider Name: DR. YVON DAMOUR, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 BELLE TERRE RD
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 474-6000
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DR. Yvon Damour, M.D. is a specialist in Port Jefferson, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Yvon Damour, M.D. NPI is 1124114491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 BELLE TERRE RD
PORT JEFFERSON, NY
ZIP 11777-928
Phone: (631) 474-6000

The NPI 1124114491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		189488-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ON25343	OTHER	NEW YORK	MDNY
2	5821360	OTHER	NEW YORK	AETNA HEALTH PLANS
3	9062538	OTHER	NEW YORK	CIGNA HEALTH PLANS
4	189488	OTHER	NEW YORK	HIP HEALTHCARE
5	1000054073	OTHER	NEW YORK	AFFINITY HEALTH PLANS
6	2121564	OTHER	NEW YORK	VYTRA HEALTH PLANS
7	2695524	OTHER	NEW YORK	GHI
8	YD0638Y82	OTHER	NEW YORK	EMPIRE BC/BS
9	4C9011	OTHER	NEW YORK	HEALTHNET
10	P3555368	OTHER	NEW YORK	OXFORD HEALTH PLANS
11	01654948	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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