Healthcare Provider Details

I. General information

NPI: 1548341837
Provider Name (Legal Business Name): DAVID DAYYA D.O., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 SOUTH AVE
NEW CANAAN CT
06840-5728
US

IV. Provider business mailing address

PO BOX 655
GUILFORD CT
06437-0655
US

V. Phone/Fax

Practice location:
  • Phone: 203-972-7766
  • Fax: 203-594-7282
Mailing address:
  • Phone: 203-972-7766
  • Fax: 203-594-7282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number204980
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number000432
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number000432
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number000432
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number000432
License Number StateCT
# 6
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number204980
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: