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NPI Code Detail

MEDICARE: GIVON SHAYEVITZ MS, PA-C

MEDICARE: GIVON SHAYEVITZ MS, PA-C
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
1363A00000XPhysician Assistant031944NY
2363AS0400XSurgical Physician Assistant031944NY
3363AM0700XMedical Physician Assistant031944NY

General Provider Information

NPI Number : 1942080684
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIVON SHAYEVITZ MS, PA-C
Provider Business Mailing Address
First Line : 2649 STRANG BLVD STE 304
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2938
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1980 CROMPOND RD
Second Line :
City : CORTLANDT MANOR
State : NY
Zip : 10567-4144
Country : US
Telephone Number : 914-737-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 02/10/2026

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