MEDICARE: DAVID DAYYA D.O., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	204980	NY
2	207R00000X	Internal Medicine Physician	000432	CT
3	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	000432	CT
4	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	000432	CT
5	208M00000X	Hospitalist Physician	000432	CT
6	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	204980	NY

General Provider Information

NPI Number	:	1548341837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DAYYA D.O., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 655
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-0655
Country	:	US
Telephone Number	:	203-972-7766
Fax Number	:	203-594-7282

Provider Business Practice Location Address
First Line	:	194 SOUTH AVE
Second Line	:
City	:	NEW CANAAN
State	:	CT
Zip	:	06840-5728
Country	:	US
Telephone Number	:	203-972-7766
Fax Number	:	203-594-7282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/16/2019

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