MEDICARE: DORIS YVETTE ZEVON PA

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	363A00000X	Physician Assistant	004512	NY

General Provider Information

NPI Number	:	1740345685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS YVETTE ZEVON PA

Provider Business Mailing Address
First Line	:	984 N BROADWAY STE 300
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10701-1308
Country	:	US
Telephone Number	:	914-963-6746
Fax Number	:

Provider Business Practice Location Address
First Line	:	984 N BROADWAY STE 300
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10701-1308
Country	:	US
Telephone Number	:	914-963-6746
Fax Number	:

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	05/05/2023

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Directions to “ DORIS YVETTE ZEVON PA” Practice Location

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