Yvette Davidov, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216589-1 Issued in NY

Practice address

1115 Ocean Pkwy Apt 1
Brooklyn, NY 11230-4075

Phone

(718) 252-5300

Fax

(718) 252-5010

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S and R Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1396624292
  NPD Authorized official
• Altair Medical PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1124290291
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083792782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 OCEAN PKWY APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304075",
            "telephone_number": "718-252-5300",
            "fax_number": "718-252-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OCEAN PKWY APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304075",
            "telephone_number": "718-252-5300",
            "fax_number": "718-252-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOV",
        "first_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216589-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Davidov
• Nelly Davidov
• Rivka Davidov, OTRL
• Sivan Osnat Davidov
• Yakov Davidov
• Elena Davidova, P.A.
• Ulviyya Davidova, CCC-SLP
• Vasilina Davidova
• Ariella Miriam Davidovich, MS,OTR/L
• Gary Davidowitz, DDS

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.