MR. DAMON VICKERS NPI 1912675547

NPI Information

MR. Damon Vickers is a student in an organized health care education training program in West Babylon, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Damon Vickers NPI is 1912675547. 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:

619 EMPIRE AVE
WEST BABYLON, NY
ZIP 11704-810
Phone: (631) 450-6216

The enumeration date for this NPI number is 8/30/2021 and was last updated on 8/30/2021.

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:

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