Devivo, Darryl C.

Devivo, Darryl C. is an individual health care provider with primary practice located at 180 Fort Washington Ave , New York NY 10032-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Devivo, Darryl C. can be contacted via phone (212) 305-5244.

Contact Information

Primary practice address
180 Fort Washington Ave New York NY 10032-3722
Phone: (212) 305-5244
Fax: (212) 305-7036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 136945 New York

Profile Details

NPI number 1801806070
LBN Legal business name Devivo, Darryl C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801806070 NPPES
New York MEDICAID 00690515

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