Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Garrisson Jean Fabrice Duvivier

Individual provider Physician Assistant · NPI 1023715638

Garrisson Jean Fabrice Duvivier is a Physician Assistant in New York, New York. Qualified in 2023, 3 years ago. Practices with MSKCC Radiology Group, a 195-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
3
Licensed in
MA, NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (347) 798-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6106 — (617) 732-6248

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033035 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9324 (MA)

Record details

NPI number1023715638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 14, 2023
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mskcc Radiology Group — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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