Provider Demographics
NPI:1437838984
Name:DEVIEUX, PHILIPPE
Entity type:Individual
Prefix:
First Name:PHILIPPE
Middle Name:
Last Name:DEVIEUX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 WILLOUGHBY AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-7054
Mailing Address - Country:US
Mailing Address - Phone:718-679-3711
Mailing Address - Fax:
Practice Address - Street 1:823 WILLOUGHBY AVE APT 4A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-7054
Practice Address - Country:US
Practice Address - Phone:718-679-3711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty