Provider Demographics
NPI:1285138602
Name:CHAMPALOUX, EVE PRIVMAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:EVE
Middle Name:PRIVMAN
Last Name:CHAMPALOUX
Suffix:
Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:750 EAST ADAM ST
Mailing Address - Street 2:CWB ROOM 241
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-4636
Mailing Address - Fax:315-464-7282
Practice Address - Street 1:750 EAST ADAM ST
Practice Address - Street 2:CWB ROOM 241
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-4636
Practice Address - Fax:315-464-7282
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2025-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61544550207Y00000X, 207YX0007X
NY337019207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck