Entrovia Medical P.c.

NPI 1043541360 - Anesthesiology - 207L00000X

NPI Details
NPI 1043541360
Enumeration Date 01/26/2010
Last Updated 01/26/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EVENS EVENS
Position PRESIDENT
Phone (718) 897-0573
Fax
Practice Location
6384 SAUNDERS ST
SUITE #2U
REGO PARK NY, 11374-3108, US
Phone (718) 897-0573
Fax
Business Location
6384 SAUNDERS ST
SUITE #2U
REGO PARK NY, 11374-3108, US
Phone (718) 897-0573
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 169274
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According to our database, Entrovia Medical P.c. NPI is 1043541360, taxonomy code is 207L00000X and license number is 169274, license state is located at New York. Entrovia Medical P.c. physically located at 6384 Saunders St, Rego Park NY, 11374-3108. NPI Number 1033115704 has the healthcare provider type.

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1043541360 NPI number is provided on an as is basis without warranty of any kind. 1043541360 is maintained by the National Plan & Provider Enumeration System. The contents of Entrovia Medical P.c. are for informational purposes only.