Active NPIIndividual provider

Saviour K Datsomor

Nurse Practitioner, Family in Bronxville, New York

NPI Number1487061958
Practice location
55 Palmer Ave, Bronxville, NY 10708-3403
Fax
—
Last updated
October 14, 2021

Saviour K Datsomor is a Nurse Practitioner, Family based in Bronxville, NY. Saviour K Datsomor practices in Bronxville, NY. The NPI Number for Saviour K Datsomor is 1487061958 and holds a License No. 00000000 (NY). The current practice location address for Saviour K Datsomor is 55 Palmer Ave, Bronxville, NY 10708-3403 and can be reached out via phone at 914-787-1000.

Provider Profile Details

NPI Number
1487061958
Provider Name
Saviour K Datsomor
Provider Entity Type
Individual
Gender
Male
Address
55 Palmer Ave, Bronxville, NY 10708-3403
Phone Number
914-787-1000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2014
Last Update Date
October 14, 2021
Certification Date
October 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Palmer Ave
Bronxville, NY 10708-3403
Zip
10708-3403
Phone Number
914-787-1000
Bronxville, NY 10708Get directions →

Provider Business Mailing Address Details

Address
185 Bronx River RD Apt L3
Yonkers, NY 10704-3750
City
Yonkers
State
NY
Zip
10704-3750
Phone Number
646-271-4224

License Information

License Number (1)
00000000
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
346933
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Saviour K Datsomor?

The NPI number of Saviour K Datsomor is 1487061958. It was assigned on July 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Saviour K Datsomor?

Saviour K Datsomor is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 00000000.

Where does Saviour K Datsomor practice?

The practice location is 55 Palmer Ave, Bronxville, NY 10708-3403. The office can be reached at 914-787-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487061958 directly on the NPPES registry website.

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