Mr. Damon Vickers
Mr. Damon Vickers is a Student in an Organized Health Care Education/Training Program in West Babylon, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
619 Empire AveWest Babylon, NY 11704-2810
Phone: (631) 450-6216
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1912675547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2021 |
| Last updated in NPPES | August 30, 2021 |
| Certification date | August 30, 2021 |
| Mailing address | 619 Empire Ave, West Babylon, NY 11704-2810 |
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