Dr. Vincent Evangelista, Dpm PC
Podiatrist, Primary Podiatric Medicine in Ozone Park, NY. Organization (NPI-2).
NPI number1841591955
StatusActive
Last updated in NPPESNov 4, 2010
Details
- NPI
- 1841591955
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Vincent Evangelista, Dpm PC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2010
- Last updated
- Nov 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | N004384 | NY | Yes |
Practice location
9715 101st AveOzone Park, NY 11416-2523
Phone 718-848-5700 · Fax 718-323-0449
Mailing address
9715 101st AveOzone Park, NY 11416-2523
Phone 718-848-5700 · Fax 718-323-0449
Authorized official
Vincent Evangelista
President
7188485700
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