De Evoli, Leland

De Evoli, Leland is an sole proprietor health care provider with primary practice located at 2 Summit Ct Suite 202, Fishkill NY 12524-1348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. De Evoli, Leland can be contacted via phone (845) 897-0009.

Contact Information

Primary practice address
2 Summit Ct Suite 202 Fishkill NY 12524-1348
Fax: (845) 897-0009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125381-1 New York
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 125381-1 New York

Profile Details

NPI number 1669453528
LBN Legal business name De Evoli, Leland
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669453528 NPPES
New York MEDICAID 00603163

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